Brenda S Dick, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

13363 Issued in OR

Practice address

4705 River Rd N
Keizer, OR 97303-4535

Phone

(503) 393-4121

Fax

(503) 393-3191

NPI assigned

Jun 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609073147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21689",
            "address_2": "4705 RIVER ROAD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973071689",
            "telephone_number": "503-393-4121",
            "fax_number": "503-393-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034535",
            "telephone_number": "503-393-4121",
            "fax_number": "503-393-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICK",
        "first_name": "BRENDA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "13363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Professionals of Oregon, P.C.
• Jessica Depriest
• Dermatology Northwest LLC
• Leah Helen Derring, LMT
• Jaspreet Dhingsa
• Wallace H Dick, DDS
• Dietitian Support Services LLC
• Divine Hope Homes LLC
• Mario Doria, D.C.
• Elizabeth C Dotson, PMHNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.