Morgan Costley Lac LMT LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MORGAN COSTLEY LAC LMT LLC

Practice address

1975 NW 167TH PL Ste 100
Beaverton, OR 97006-4908

Phone

(503) 560-0843

NPI assigned

Mar 24, 2023

Organization subpart

No

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

Authorized official

Name

Morgan Costley, LAC LMTNPI 1568730075

Title

Licensed Acupuncturist

Phone

(503) 560-0843

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Morgan C Costley, LMT

  • Massage Therapist
  • Lake Oswego, OR
  • NPI 1568730075
  NPD Authorized official

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1609579879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 NE 59TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134011",
            "telephone_number": "503-560-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 NW 167TH PL STE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064908",
            "telephone_number": "503-560-0843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1927 NE Saratoga St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972115236",
            "country_code": "US",
            "telephone_number": "503-560-0843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MORGAN COSTLEY LAC LMT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "COSTLEY",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "503-560-0843",
        "authorized_official_credential": "LAC LMT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikki Moore, RDH
• Steven Philip Moore
• Gelsca Desindia Morales Felix
• Vanessa Morales
• Amber Moreno-Perez
• Alicia Morgan, RDH
• Danielle L Morgan, PMHNP-BC
• Grant Morgan
• Roberta M Morgan, LPC, CADC III
• Kent Tsuruo Morimatsu, PT

• Health Service Clinic/Center in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Health Service Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.