Active NPI
Luz Maria Campuzano, LMT
- Massage Therapist
- Beaverton, OR
National Provider Identifier
1629816574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 17799
- Practice address
- 18879 SW Tualatin Valley Hwy
Beaverton, OR 97003-2833 - Phone
- (503) 430-1768
- NPI assigned
- Jul 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA.61181051 | WA | |
| Massage Therapist | 225700000X | 17799 | OR | Primary |
Addresses
Primary practice location
18879 SW Tualatin Valley Hwy
Beaverton, OR 97003-2833
Mailing address
41831 SW Lasalle Rd
Gaston, OR 97119-8636
Phone (971) 732-4457
Other practice location 1
13521 SE 3rd Way Ste 200
Vancouver, WA 98684-6909
Phone (360) 909-5032
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17799 | OR | MD | Massage Therapist |
| MA.61181051 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Namu Chiropractic | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Vancouver, WA
- NPI 1083478580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1629816574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41831 SW LASALLE RD",
"city": "GASTON",
"state": "OR",
"postal_code": "971198636",
"telephone_number": "971-732-4457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18879 SW TUALATIN VALLEY HWY",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970032833",
"telephone_number": "503-430-1768"
}
],
"practiceLocations": [
{
"address_1": "13521 SE 3rd Way Ste 200",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986846909",
"country_code": "US",
"telephone_number": "360-909-5032",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPUZANO",
"first_name": "LUZ",
"middle_name": "MARIA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-16",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA.61181051",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "17799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.