Active NPI
Franklin Brent King, LMT
- Contractor
- Lake Oswego, OR
National Provider Identifier
1679727648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 10941
- Practice address
- 315 2ND St
Lake Oswego, OR 97034-3114 - Phone
- (503) 522-5959
- NPI assigned
- Nov 4, 2008
- Last updated
- Nov 4, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 10941 | OR | Primary |
Addresses
Primary practice location
315 2ND St
Lake Oswego, OR 97034-3114
Mailing address
315 2ND St
Lake Oswego, OR 97034-3114
Phone (503) 522-5959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10941 | Other | OR | STATE OF OREGON LICENSED MASSAGE THERAPIST NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10941 | OR | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225756800000",
"number": "1679727648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 2ND ST",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970343114",
"telephone_number": "503-522-5959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 2ND ST",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970343114",
"telephone_number": "503-522-5959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "FRANKLIN",
"middle_name": "BRENT",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-04",
"last_updated": "2008-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OR",
"license": "10941",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF OREGON LICENSED MASSAGE THERAPIST NUMBER",
"identifier": "10941",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.