Mollie Tingle

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

26624 Issued in OR

Practice address

2442 SE 101St Ave Ste 205
Portland, OR 97216-3064

Phone

(503) 206-5042

NPI assigned

Nov 17, 2021

Last updated

Nov 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Balanced Health Chiropractic

  • Multi-Specialty Clinic/Center
  • Clackamas, OR
  • NPI 1578015970
  NPD (past)

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1700543410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440A NE 32ND PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972116633",
            "telephone_number": "707-953-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 SE 101ST AVE STE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163064",
            "telephone_number": "503-206-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINGLE",
        "first_name": "MOLLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Portland",
            "affiliation": "N",
            "address_1": "2442 SE 101st Ave Ste 205",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972163064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tindall Therapeutic Massage LLC
• Mary E Tindall, LMT
• Kimberly Ann Tindel, L.AC.
• Madison L Tindle
• Frances T Ting, M.D.
• Christina M Tingley
• Danyelle Marie Tinker Lowder, LMT
• George William Tinker, PHD
• Tenesha Lynn Tinker
• Julia Kay Tinkham-Ray, OTR/L

• 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 17, 2021; 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.