Free State Massage and Wellness

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

FREE STATE MASSAGE AND WELLNESS

Practice address

205 SE Spokane St Ste 300
Portland, OR 97202-6487

Phone

(913) 940-0877

Fax

(971) 386-1281

NPI assigned

Aug 4, 2022

Last updated

Jul 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley Ann Doke, MTNPI 1891211389

Title

Owner

Phone

(913) 940-0877

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashley A Doke, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1891211389
  Authorized official Same address or phone

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1679200182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7824 SE 48TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972069111",
            "telephone_number": "913-940-0877",
            "fax_number": "971-386-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SE SPOKANE ST STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026487",
            "telephone_number": "913-940-0877",
            "fax_number": "971-386-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE STATE MASSAGE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2024-07-03",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "DOKE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-940-0877",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alix Fredrickson, RPH
• Amanda Kristine Fredrickson, R.D.
• Annalisa Fredrickson
• Knute A Fredrickson, DMD
• Free Spirits Therapy LLC
• Free Your Mind PDX, LLC
• Bruce A Free, DO
• Joseph Cameron Free, LMT
• Freebert Studio, LLC
• Kelly Freeburg, LCSW

• 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 Jul 3, 2024; 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.