Organization Active NPI

Melody Moon Wellness LLC

  • Massage Therapist
  • Gresham, OR
National Provider Identifier
1700568409
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MELODY MOON WELLNESS LLC
Practice address
22400 SE Stark St Ste 106
Gresham, OR 97030-2656
Phone
(503) 320-7680
NPI assigned
Aug 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Mercedes MoserNPI 1023687852
Title
LMT
Phone
(503) 320-7680

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

22400 SE Stark St Ste 106
Gresham, OR 97030-2656

Mailing address

22400 SE Stark St Ste 106
Gresham, OR 97030-2656
Phone (503) 320-7680

National Provider Directory

National Provider Directory

Locations

22400 SE Stark St
Ste 106
Gresham, OR 97030
Phone (503) 320-7680

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": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1700568409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22400 SE STARK ST STE 106",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302656",
            "telephone_number": "503-320-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22400 SE STARK ST STE 106",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302656",
            "telephone_number": "503-320-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELODY MOON WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "LMT",
        "authorized_official_telephone_number": "503-320-7680"
    },
    "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 Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.