NPIMap

Organization Active NPI

Sunfire Massage

  • Health Maintenance Organization
  • Gresham, OR
National Provider Identifier
1689941866
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
11880 Issued in OR
Legal business name
SUNFIRE MASSAGE
Practice address
22011 SE Oak St
Gresham, OR 97030-8509
Phone
(503) 348-1250
NPI assigned
Nov 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Authorized official

Name
Amber BuxtonNPI 1114066214
Title
LMT
Phone
(503) 348-1250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 11880 OR Primary

Addresses

Primary practice location

22011 SE Oak St
Gresham, OR 97030-8509

Mailing address

22011 SE Oak St
Gresham, OR 97030-8509
Phone (503) 348-1250

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1689941866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22011 SE OAK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970308509",
            "telephone_number": "503-348-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22011 SE OAK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970308509",
            "telephone_number": "503-348-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNFIRE MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "BUXTON",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "LMT",
        "authorized_official_telephone_number": "503-348-1250"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OR",
            "license": "11880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.

Verify at the official NPI Registry.