Inner Escape Bodywork

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

INNER ESCAPE BODYWORK

Practice address

3430 SE Belmont St Ste 206
Portland, OR 97214-4247

Phone

(503) 516-1020

NPI assigned

Mar 9, 2023

Organization subpart

No

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

Authorized official

Name

Cory McVenes, LMTNPI 1104572619

Title

Licensed Massage Therapist

Phone

(503) 516-1020

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Cory Ray McVenes, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1104572619
  NPD Authorized official

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1659071322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 SE BELMONT ST STE 206",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144247",
            "telephone_number": "503-516-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 SE BELMONT ST STE 206",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144247",
            "telephone_number": "503-516-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER ESCAPE BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "MCVENES",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "503-516-1020",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Inner Domain Holistic Health, LLC
• Inner Gate Acupuncture LLC
• Inner Otter Therapy LLC
• Inner Path Counseling, LLC
• Inner Presence Counseling LLC
• Inner Space LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.