NPIMap

Organization Active NPI

Will Hallett Bodywork, Inc

Doing business as Palaquin Massage

  • Point of Service
  • Portland, OR
National Provider Identifier
1538567847
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
18758 Issued in OR
Legal business name
WILL HALLETT BODYWORK, INC
Doing business as
Palaquin Massage
Practice address
511 SW 10TH Ave
Ste 1108
Portland, OR 97205-2732
Phone
(503) 224-6800
Fax
(503) 224-6800
NPI assigned
Dec 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Mr. William T Hallett, LMTNPI 1043642499
Title
Owner/LMT
Phone
(503) 224-6800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 18758 OR Primary

Addresses

Primary practice location

511 SW 10TH Ave
Ste 1108
Portland, OR 97205-2732

Mailing address

511 SW 10TH Ave
Ste 1108
Portland, OR 97205-2732
Phone (503) 224-6800

Other names 1

  • Palaquin Massage Doing business as

National Provider Directory

National Provider Directory

Locations

511 SW 10th Ave
Ste 1108
Portland, OR 97205
Phone (503) 224-6800

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1538567847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE",
            "address_2": "STE 1108",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052732",
            "telephone_number": "503-224-6800",
            "fax_number": "503-224-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE",
            "address_2": "STE 1108",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052732",
            "telephone_number": "503-224-6800",
            "fax_number": "503-224-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILL HALLETT BODYWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "HALLETT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/LMT",
        "authorized_official_telephone_number": "503-224-6800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "OR",
            "license": "18758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palaquin Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.