Bamboo Garden Two LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

BAMBOO GARDEN TWO LLC

Practice address

945 Alder Dr NE Ste a
Keizer, OR 97303-4709

Phone

(503) 689-6658

Fax

(971) 423-0378

NPI assigned

Oct 6, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Sung Li, LMTNPI 1922735547

Title

Owner

Phone

(707) 592-5361

Specialties & licenses 1

Addresses

Other names 1

• Bamboo Garden Massage and Spa Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sung Li, LMT

  • Massage Therapist
  • Salem, OR
  • NPI 1922735547
  NPD Authorized official
• Suilan Lin

  • Massage Therapist
  • Salem, OR
  • NPI 1316674955
  NPD

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1548041494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 36TH AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014740",
            "telephone_number": "707-592-5361",
            "fax_number": "971-423-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 ALDER DR NE STE A",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034709",
            "telephone_number": "503-689-6658",
            "fax_number": "971-423-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAMBOO GARDEN TWO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "SUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-592-5361",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bamboo Garden Massage and Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• B2 Community Care LLC
• Seth Bagasani
• Margaret Baily
• Jeffery Walter Baker, D.C.
• Noha Mostafa Balboul
• Elia Barocio, CADC I
• Sophia Barrett
• Kristin Marie Barz
• Martin L Bassett, MD, PC
• Nirmal Bastola, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.