Beth Schock, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

11598 Issued in OR

Practice address

5336 SE Bush St
Portland, OR 97206-5394

Phone

(503) 502-5115

NPI assigned

Mar 3, 2009

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

• Elisabeth Schock Other 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": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1679713648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 NE 74TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972183639",
            "telephone_number": "503-502-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5336 SE BUSH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972065394",
            "telephone_number": "503-502-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOCK",
        "first_name": "BETH",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "11598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISABETH",
            "last_name": "SCHOCK",
            "credential": "LMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nilan Schnure, MD
• Greg W Schober, O.D.
• Max Weston Schober, MD
• Shannon Schober, DMD
• Camden Alexander Schobert, MSCP, PSYD
• Elke Schoen, FNP
• Grant Schoen
• Jamie R. Schoen, DPT
• Khimberly Rose Schoenacker, RD, CSP, LD
• Cris Ann Schoenbauer, DPT

• 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 Oct 8, 2009; 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.