Mamahaven Massage

Primary specialty

SpecialistTaxonomy code 174400000X

License

18614 Issued in OR

Legal business name

MAMAHAVEN MASSAGE

Practice address

6536 SE Duke St
Portland, OR 97206-6665

Phone

(860) 922-6439

NPI assigned

Mar 27, 2013

Organization subpart

No

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

Authorized official

Name

Anne Tegtmeier, LMTNPI 1184992810

Title

Owner

Phone

(860) 922-6439

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.

• Anne C Tegtmeier, LMT

  • Lactation Consultant (Non-RN)
  • Portland, OR
  • NPI 1184992810
  NPD (past) Authorized official

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1598008609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12349 SE KNAPP ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972365017",
            "telephone_number": "860-922-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6536 SE DUKE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066665",
            "telephone_number": "860-922-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMAHAVEN MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "TEGTMEIER",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-922-6439",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "18614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Malsin
• Deborah Malsom
• Kristin Anne Malt, M.S.O.T.
• Henry A. Malus, N.D.
• Niara Malveaux
• James Boimah Mambu Sr.
• Tamara Lyn Mametieff
• Grace Mamii
• Stefan Michael Mammele, MD
• Melissa Dawn Mammen, M.A.

• Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.