NPIMap

Organization Active NPI

Equilibria Massage

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1639422959
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
16166 Issued in OR
Legal business name
EQUILIBRIA MASSAGE
Practice address
1308 NW 20TH Ave Ste 1
Portland, OR 97209-1607
Phone
(503) 221-2155
NPI assigned
Oct 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Authorized official

Name
Miss Kamila A Loupal, LMTNPI 1447539952
Title
Owner
Phone
(503) 221-2155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 16166 OR Primary

Addresses

Primary practice location

1308 NW 20TH Ave Ste 1
Portland, OR 97209-1607

Mailing address

1308 NW 20TH Ave Suite 1
Portland, OR 97209
Phone (503) 221-2155

National Provider Directory

National Provider Directory

Locations

1308 NW 20th Ave
Ste 1
Portland, OR 97209
Phone (503) 221-2155

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1639422959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 NW 20TH AVE SUITE 1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97209",
            "telephone_number": "503-221-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 NW 20TH AVE STE 1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091607",
            "telephone_number": "503-221-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIA MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "LOUPAL",
        "authorized_official_first_name": "KAMILA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-221-2155",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "16166",
            "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 Oct 24, 2012; 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.