Tabitha White, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

17671 Issued in OR

Practice address

657 NE Hood Ave
Gresham, OR 97030-7328

Phone

(503) 661-7811

Fax

(503) 661-5723

NPI assigned

Oct 15, 2013

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

• Tabitha Pierce Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1669800488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 NE HOOD AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307328",
            "telephone_number": "503-661-7811",
            "fax_number": "503-661-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 NE HOOD AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307328",
            "telephone_number": "503-661-7811",
            "fax_number": "503-661-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TABITHA",
        "name_prefix": "Mrs.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "17671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TABITHA",
            "last_name": "PIERCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David A White, MD
• Gary Alan White, DMD
• Kristi Cash White, PHD, MA
• Laura White, PA-C
• Sayre Metcalf White, CNM, RN
• Tiffiny Donnalee Whitehead
• Whiterose Care Homes LLC
• Rodney Whiteside
• Brooke Whiting, LE
• Grace Whitty, CSWA

• 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 Oct 15, 2013; 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.