PBF Enterprises, Inc.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

12813 Issued in OR

Legal business name

PBF ENTERPRISES, INC.

Practice address

1541 Columbia Blvd
Saint Helens, OR 97051-6212

Phone

(503) 397-0429

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Pratiti Fullerton, LMT

Title

President

Phone

(503) 397-0429

Specialties & licenses 1

Addresses

Other names 1

• St. Helens Bowenwork Clinic Doing business as

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700910395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 COLUMBIA BLVD",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970516212",
            "telephone_number": "503-397-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 COLUMBIA BLVD",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970516212",
            "telephone_number": "503-397-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBF ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FULLERTON",
        "authorized_official_first_name": "PRATITI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-397-0429",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "12813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Helens Bowenwork Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan J Parks
• Pamela Betty Pastore, N.P.
• Miranda Lynn Patrick
• Paul L Tesar MD PC
• Jennifer Paulson, RDH
• M Francine Pearson, LMT
• Megan Kimberley Pena, MA, MSW
• Ian Stone Perez
• Cassandra Ma Perkins, CADC,CRMII,PSS
• David W Perlman, MD

• Massage Therapist in Saint Helens, OR
• Providers in Saint Helens, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.