Individual provider Active NPI

Vicki Leigh Lorayne, LMT

  • Mechanotherapist
  • Portland, OR
National Provider Identifier
1629311147
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
19406 Issued in OR
Practice address
1017 SW Morrison St
# 403
Portland, OR 97205-2635
Phone
(917) 533-7001
NPI assigned
Apr 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 19406 OR Primary

Addresses

Primary practice location

1017 SW Morrison St
# 403
Portland, OR 97205-2635

Mailing address

1017 SW Morrison St
# 403
Portland, OR 97205-2635
Phone (917) 533-7001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19406ORMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1629311147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 SW MORRISON ST",
            "address_2": "# 403",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052635",
            "telephone_number": "917-533-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 SW MORRISON ST",
            "address_2": "# 403",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052635",
            "telephone_number": "917-533-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORAYNE",
        "first_name": "VICKI",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "OR",
            "license": "19406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.