Active NPI
Melody Moon Wellness LLC
- Massage Therapist
- Gresham, OR
National Provider Identifier
1700568409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mercedes Moser
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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 DirectoryLocations
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.