Innerlight Healing Arts

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

21240 Issued in OR

Legal business name

INNERLIGHT HEALING ARTS

Practice address

3128 SE 45TH Ave
Portland, OR 97206-2205

Phone

(206) 920-7417

NPI assigned

Jul 6, 2015

Last updated

Jul 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathryn BreunigNPI 1669848784

Title

Licensed Massage Therapist

Phone

(206) 920-7417

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Kathryn Breunig, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1669848784
  NPD (past) Authorized official

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1558744862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3128 SE 45TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3128 SE 45TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062205",
            "telephone_number": "206-920-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERLIGHT HEALING ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "BREUNIG",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "206-920-7417"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OR",
            "license": "21240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inner Tides Integrative Medicine
• Inner Way Wellness, LLC
• Inner Works Acupuncture, PC (Inner Works)
• Jeanell Ruth Innerarity, MA
• Innerkin LLC (Innerkin Counseling)
• Innerwellness, LLC
• Innovations in Counseling Inc
• Innovative Therapeutic Solutions, LLC
• Innovus Anesthesia LLC
• Sheena Ino

• Case Management Agency in Portland, OR
• Providers in Portland, OR by specialty
• Case Management Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.