Orenco Massage Studio LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

LMT#6259 Issued in OR

Legal business name

ORENCO MASSAGE STUDIO LLC

Practice address

1915 NW Amberglen Pkwy
Suite #400
Beaverton, OR 97006-6951

Phone

(360) 910-1840

NPI assigned

Feb 9, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Gerald Stanley Wilk Jr., LMP, LMT, MBANPI 1508235219

Title

President/Secretary

Phone

(360) 910-1840

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.

• Gerald Stanley Wilk Jr.

  • Massage Therapist
  • Beaverton, OR
  • NPI 1508235219
  NPD (past) Authorized official

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1609267996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 NE ORENCO GARDENS DR",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245128",
            "telephone_number": "360-910-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 NW AMBERGLEN PKWY",
            "address_2": "SUITE #400",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970066951",
            "telephone_number": "360-910-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORENCO MASSAGE STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "WILK",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "360-910-1840",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LMP, LMT, MBA"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OR",
            "license": "LMT#6259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oregon Injury Clinic, PC
• Oregon Medical Equipment LLC
• Oregon Orthotic Services (Evergreen Prosthetics and Orthotics)
• Oregon Orthotic Services, Inc
• Oregon Pediatrics-Beaverton, LLC
• Alicia C Orozco, DOULA
• Shane R Orr, PHARM D
• Victor Orr
• Elizabeth Orthmann, LMFT
• Carmen Ortiz, CADC-I, CRM-II

• Health Maintenance Organization in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Health Maintenance Organization in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.