Active NPI
Claire J Lauder, LMT
- Massage Therapist
- Portland, OR
National Provider Identifier
1679993240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 15848
- Practice address
- 1815 NW Flanders St
L102 & 202
Portland, OR 97209-2060 - Phone
- (503) 683-2229
- NPI assigned
- Apr 23, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 15848 | OR | Primary |
Addresses
Primary practice location
1815 NW Flanders St
L102 & 202
Portland, OR 97209-2060
Mailing address
2456 NW Vaughn St
#3
Portland, OR 97210-2321
Phone (971) 276-7704
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 |
|---|---|---|---|
| 15848 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398211200000",
"number": "1679993240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2456 NW VAUGHN ST",
"address_2": "#3",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102321",
"telephone_number": "971-276-7704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 NW FLANDERS ST",
"address_2": "L102 & 202",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972092060",
"telephone_number": "503-683-2229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUDER",
"first_name": "CLAIRE",
"middle_name": "J",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-23",
"last_updated": "2014-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "15848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.