Pilar Adelina Pangkasank, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

25962 Issued in OR

Practice address

405 N.E. Division St.
Gresham, OR 97030

Phone

(503) 661-0791

Fax

(503) 661-1136

NPI assigned

Apr 15, 2021

Last updated

Apr 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Pilar Adelina Pangkasank Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kuns Chiropractic Clinic

  • Medical Specialty Clinic/Center
  • Gresham, OR
  • NPI 1922483015
  NPD (past)
• Kuns Chiropractic Clinic Inc

  • Chiropractor
  • Gresham, OR
  • NPI 1316071046
  NPD (past)

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1669053484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N.E. DIVISION ST.",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "97030",
            "telephone_number": "503-661-0791",
            "fax_number": "503-661-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N.E. DIVISION ST.",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "97030",
            "telephone_number": "503-661-0791",
            "fax_number": "503-661-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGKASANK",
        "first_name": "PILAR",
        "middle_name": "ADELINA",
        "name_prefix": "Mrs.",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "25962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PILAR",
            "last_name": "PANGKASANK",
            "middle_name": "ADELINA",
            "prefix": "MRS.",
            "credential": "MASSAGE THERAPIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tyler Page, PHARMD, RPH
• Veranika Pahodzina
• Pain Relief Specialist Northwest PC
• Carmela C Pajarillo, M.D.
• Kyle Paladeni, LMT
• Benida Monique Panian, NP
• Kathryn Victoria Panwala, M.D.
• Gerald Joseph Papador, DDS
• Patricia Paquette, LMT
• Abigail Marie Pardo, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.