Danielle

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

19777 Issued in OR

Legal business name

DANIELLE

Practice address

22400 SE Stark St
Gresham, OR 97030-2656

Phone

(509) 760-9947

NPI assigned

Jul 7, 2016

Organization subpart

No

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

Authorized official

Name

Danielle Sutton

Title

LMT

Phone

(509) 760-9947

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1609228238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22400 SE STARK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22400 SE STARK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302656",
            "telephone_number": "509-760-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "LMT",
        "authorized_official_telephone_number": "509-760-9947"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "19777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF MASSAGE THERAPISTS",
            "identifier": "19777",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thao My Dang
• Sarah Dangaran
• Dani Care Inc
• Daniel & Max, LLC
• Daniel J Ries, DMD, PC
• Mark D. Danielson, DDS
• Dansar Consulting Limited
• Dansar LTD Inc
• Shirah Dantone
• Christina Daragan, MD

• Massage Therapist in Gresham, OR
• Providers in Gresham, 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 7, 2016; 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.