Individual provider Active NPI

Russell Colt Quiring, MA 61339704

  • Massage Therapist
  • Battle Ground, WA
National Provider Identifier
1548975121
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
61339704 Issued in WA
Practice address
105 N Parkway Ave
Battle Ground, WA 98604-9129
Phone
(360) 666-6001
NPI assigned
Jan 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 61339704 WA Primary

Addresses

Primary practice location

105 N Parkway Ave
Battle Ground, WA 98604-9129

Mailing address

1004 SE 145TH CT
Vancouver, WA 98683-7037
Phone (682) 444-8456

Other practice location 1

16904 SE 1st St Ste B103
Vancouver, WA 98684-8511
Phone (360) 787-2505

Other practice location 2

318 NE 99th St Ste L
Vancouver, WA 98665-5902
Phone (360) 558-7904

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
61339704WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Opdahl Chiropractic Office Inc. PastSince Jan 22, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1548975121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 SE 145TH CT",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986837037",
            "telephone_number": "682-444-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N PARKWAY AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986049129",
            "telephone_number": "360-666-6001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16904 SE 1st St Ste B103",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986848511",
            "country_code": "US",
            "telephone_number": "360-787-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "318 NE 99th St Ste L",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986655902",
            "country_code": "US",
            "telephone_number": "360-558-7904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUIRING",
        "first_name": "RUSSELL",
        "middle_name": "COLT",
        "credential": "MA 61339704",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61339704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

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