Organization Active NPI

Asian Garden Spa LLC

  • Physical Therapy Clinic/Center
  • Beaverton, OR
National Provider Identifier
1558091926
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ASIAN GARDEN SPA LLC
Practice address
6950 SW 105TH Ave Ste 110
Beaverton, OR 97008-5441
Phone
(503) 388-0818
NPI assigned
Jun 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Lu Lindberg
Title
Owner
Phone
(503) 732-6171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

6950 SW 105TH Ave Ste 110
Beaverton, OR 97008-5441

Mailing address

6950 SW 105TH Ave Ste 110
Beaverton, OR 97008-5441
Phone (503) 388-0818

Other practice location 1

6950 SW 105th Ave Ste 110
Beaverton, OR 97008-5441
Phone (503) 388-0818

National Provider Directory

National Provider Directory

Locations

6950 SW 105th Ave
Ste 110
Beaverton, OR 97008
Phone (503) 388-0818

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1558091926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 SW 105TH AVE STE 110",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085441",
            "telephone_number": "503-388-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 SW 105TH AVE STE 110",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085441",
            "telephone_number": "503-388-0818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6950 SW 105th Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970085441",
            "country_code": "US",
            "telephone_number": "503-388-0818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASIAN GARDEN SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "LINDBERG",
        "authorized_official_first_name": "LU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-732-6171"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.