Hollie Hefferman

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

25231 Issued in OR

Practice address

915 NE 2ND St
Gresham, OR 97030-7512

Phone

(503) 558-4977

Fax

(971) 253-4445

NPI assigned

Nov 26, 2019

Last updated

May 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hollie Hefferman LMT LLC

  dba Hollie Hefferman LMT

  • Massage Therapist
  • Gresham, OR
  • NPI 1043973522
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1518503358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 NE 2ND ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307512",
            "telephone_number": "503-558-4977",
            "fax_number": "971-253-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 NE 2ND ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307512",
            "telephone_number": "503-558-4977",
            "fax_number": "971-253-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFERMAN",
        "first_name": "HOLLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61009426",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "25231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jack Alan Hemelstrand, DMD

• Massage Therapist in Gresham, OR
• Providers in Gresham, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.