Active NPI
Christina Noel Mitchell, LMT
- Massage Therapist
- Portland, OR
National Provider Identifier
1649797598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 81039
- Practice address
- 8317 SE 13TH Ave
Portland, OR 97202-7101 - Phone
- (917) 974-6178
- NPI assigned
- Aug 22, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 81039 | OR | Primary |
Addresses
Primary practice location
8317 SE 13TH Ave
Portland, OR 97202-7101
Mailing address
1564 SE Clatsop St Apt a
Portland, OR 97202-7228
Phone (917) 974-6178
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 |
|---|---|---|---|
| 81039 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503360000000",
"number": "1649797598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1564 SE CLATSOP ST APT A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972027228",
"telephone_number": "917-974-6178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8317 SE 13TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972027101",
"telephone_number": "917-974-6178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "CHRISTINA",
"middle_name": "NOEL",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-22",
"last_updated": "2017-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "81039",
"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 Aug 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.