Active NPI
Jaclyn Sorbets
- Massage Therapist
- Forest Grove, OR
National Provider Identifier
1528665502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 3838 Pacific Ave
Forest Grove, OR 97116-2224 - Phone
- (503) 357-1706
- NPI assigned
- Oct 3, 2020
- Last updated
- Oct 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | NU | Primary |
Addresses
Primary practice location
3838 Pacific Ave
Forest Grove, OR 97116-2224
Mailing address
97 Kingsgate Rd Apt K32
Lake Oswego, OR 97035-2376
Phone (503) 481-9862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601683200000",
"number": "1528665502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 KINGSGATE RD APT K32",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970352376",
"telephone_number": "503-481-9862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3838 PACIFIC AVE",
"city": "FOREST GROVE",
"state": "OR",
"postal_code": "971162224",
"telephone_number": "503-357-1706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORBETS",
"first_name": "JACLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-03",
"last_updated": "2020-10-03",
"certification_date": "2020-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Grove, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.