NPIMap

Organization Active NPI

Moss and Moon Bodywork

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1699610600
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MOSS AND MOON BODYWORK
Practice address
7621 SW Chestnut St
Portland, OR 97223-9057
Phone
(503) 819-7371
NPI assigned
Apr 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Authorized official

Name
Lise Colucci, LLCNPI 1457290520
Title
Owner
Phone
(503) 819-7371

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
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

7621 SW Chestnut St
Portland, OR 97223-9057

Mailing address

7621 SW Chestnut St
Portland, OR 97223-9057
Phone (503) 819-7371

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": "1776902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1699610600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7621 SW CHESTNUT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972239057",
            "telephone_number": "503-819-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7621 SW CHESTNUT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972239057",
            "telephone_number": "503-819-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS AND MOON BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-23",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "COLUCCI",
        "authorized_official_first_name": "LISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-819-7371",
        "authorized_official_credential": "LLC"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "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, 2026; 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.