Mandy Jean Beeman, LMT
Individual provider Active NPI Massage Therapist · Tualatin, OR
NPI 1669711131 · NPPES record last updated Apr 16, 2018
Key facts
- NPI
- 1669711131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 18053 (OR)
- Practice address
- 19365 SW 65TH Ave Ste 204
Tualatin, OR 97062-9196 - Phone
- (503) 860-2372
- NPI assigned
- Feb 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Theology
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| An Sen Clinic LLC | Massage Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 18053 | OR | Yes |
Addresses
Primary practice location
19365 SW 65TH Ave Ste 204
Tualatin, OR 97062-9196
Mailing address
19365 SW 65TH Ave Ste 204
Tualatin, OR 97062-9196
Phone (503) 860-2372
Other practice location 1
107 SE Washington St
#134
Portland, OR 97214-2103
Phone (503) 236-6633
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.