Audra Erickson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

AUDRA ERICKSON, LMT

Practice address

4415 NE Sandy Blvd Ste 207
Portland, OR 97213-1400

Phone

(541) 484-7563

NPI assigned

Sep 25, 2018

Last updated

Jan 12, 2021By 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

Ms. Audra Gale Erickson, BS, LMTNPI 1245781251

Title

Licensed Massage Therapist

Phone

(541) 484-7563

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Audra Erickson, BS, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1245781251

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1588149512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3829 SE 68TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972063527",
            "telephone_number": "541-484-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 NE SANDY BLVD STE 207",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131400",
            "telephone_number": "541-484-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDRA ERICKSON, LMT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-25",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_middle_name": "GALE",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "541-484-7563",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS, LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMT",
            "identifier": "21710",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Maria Auburn
• Abby Auch, LMT, MSW
• Laurel Auda-Capel
• Audiology Center Northwest LLC
• Claire Rebecca Audley
• Clare Ashley Audrain, RN
• Audrey Czerew, Msaom, L.Ac. LLC
• Misty Auel
• John S. Auerbach, LCP-INTERN
• Peter Auerbach, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.