Organization Active NPI

Wellspring Massage LLC

  • Massage Therapist
  • Milwaukie, OR
National Provider Identifier
1528329513
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
WELLSPRING MASSAGE LLC
Practice address
10600 SE McLoughlin Blvd
Suite 102
Milwaukie, OR 97222-7428
Phone
(503) 653-5325
Fax
(503) 653-5328
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Heather Marie Harris, LMT
Title
Owner
Phone
(503) 653-5325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X OR Primary

Addresses

Primary practice location

10600 SE McLoughlin Blvd
Suite 102
Milwaukie, OR 97222-7428

Mailing address

10600 SE McLoughlin Blvd
Suite 102
Milwaukie, OR 97222-7428
Phone (503) 653-5325

National Provider Directory

National Provider Directory

Locations

10600 SE McLoughlin Blvd
Ste 102
Milwaukie, OR 97222
Phone (503) 653-5325

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1528329513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 SE MCLOUGHLIN BLVD",
            "address_2": "SUITE 102",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227428",
            "telephone_number": "503-653-5325",
            "fax_number": "503-653-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 SE MCLOUGHLIN BLVD",
            "address_2": "SUITE 102",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227428",
            "telephone_number": "503-653-5325",
            "fax_number": "503-653-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-653-5325",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.