NPIMap

Organization Active NPI

Elk Rock Wellness

  • Massage Therapist
  • Milwaukie, OR
National Provider Identifier
1699195073
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
12973 Issued in OR
Legal business name
ELK ROCK WELLNESS
Practice address
2403 SE Monroe St Ste B
Milwaukie, OR 97222-7646
Phone
(503) 303-4078
NPI assigned
Apr 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Lesley Sario, LMT
Title
Owner
Phone
(503) 303-4078

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X 12973 OR
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 12973 OR Primary

Addresses

Primary practice location

2403 SE Monroe St Ste B
Milwaukie, OR 97222-7646

Mailing address

2403 SE Monroe St Ste B
Milwaukie, OR 97222-7646
Phone (503) 303-4078

Other identifiers 1

IdentifierTypeStateIssuer
100640994OtherORDBA

National Provider Directory

National Provider Directory

Locations

2403 SE Monroe St
Ste B
Portland, OR 97222
Phone (503) 303-4078

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1699195073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 SE MONROE ST STE B",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227646",
            "telephone_number": "503-303-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 SE MONROE ST STE B",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227646",
            "telephone_number": "503-303-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK ROCK WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "SARIO",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-303-4078",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": "OR",
            "license": "12973",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "12973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DBA",
            "identifier": "100640994",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, 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.

Verify at the official NPI Registry.