Conscious Contact Bodywork

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

21767 Issued in OR

Legal business name

CONSCIOUS CONTACT BODYWORK

Practice address

1540 SE Clinton St
Portland, OR 97202-1130

Phone

(310) 746-8676

NPI assigned

Nov 29, 2016

Organization subpart

No

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

Authorized official

Name

Nicole K NesserNPI 1124488069

Title

LMT

Phone

(310) 746-8676

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole K Nesser, LMT

  • Massage Therapist
  • Lake Oswego, OR
  • NPI 1124488069
  NPD (past) Authorized official

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1689117244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 SE BROOKLYN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972022133",
            "telephone_number": "310-746-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 SE CLINTON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021130",
            "telephone_number": "310-746-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSCIOUS CONTACT BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "NESSER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "LMT",
        "authorized_official_telephone_number": "310-746-8676"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "21767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Conroy, M.D.
• Kerrins Thomas Conroy III, NCC, LPC
• Mary Lee Conroy
• Molly A Conroy
• Kurt Conroyd
• Conscious Healing Collective LLC
• Maggie Mirra Gilbrook Conser, NP
• Alex Considine, MSW
• Holly Consol
• Samantha Pinto Consol, PA-C

• 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 Nov 29, 2016; 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.