Ekaterina Bodunov

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

885 Lancaster Dr SE
Salem, OR 97317-5858

Phone

(503) 588-2333

NPI assigned

Dec 26, 2024

Last updated

Dec 26, 2024By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinic of Natural Medicine and Research LLC

  • Naturopath
  • Salem, OR
  • NPI 1942558291
  NPD Authorized official

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

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1619785383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 LANCASTER DR SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973175858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 LANCASTER DR SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973175858",
            "telephone_number": "503-588-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODUNOV",
        "first_name": "EKATERINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Sunshine Bock, LMT
• Nathan K. Boddie, M.D., M.S.
• Kevin Dale Bodin, QMHA, C.A.D.C. I
• Trevor Bodine, PTA
• Peter Bodmer
• Victoria Boechler, PT, DPT
• Timothy John Boehm, DMD
• Gary W Boehne, DMD
• Brogan Boen
• Gavin Boen

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.