Active NPI
Nichole Marie Strasser
- Massage Therapist
- Portland, OR
National Provider Identifier
1710505185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 16091
- Practice address
- 1413 SE Hawthorne Blvd
Portland, OR 97214-3640 - Phone
- (503) 841-6460
- NPI assigned
- Jul 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 16091 | OR | Primary |
Addresses
Primary practice location
1413 SE Hawthorne Blvd
Portland, OR 97214-3640
Mailing address
7145 SE 67TH Ave
Portland, OR 97206-7313
Phone (503) 847-7317
Other practice location 1
7145 SE 67th Ave
Portland, OR 97206-7313
Phone (503) 847-7317
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16091 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594425600000",
"number": "1710505185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7145 SE 67TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972067313",
"telephone_number": "503-847-7317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1413 SE HAWTHORNE BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972143640",
"telephone_number": "503-841-6460"
}
],
"practiceLocations": [
{
"address_1": "7145 SE 67th Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972067313",
"country_code": "US",
"telephone_number": "503-847-7317",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STRASSER",
"first_name": "NICHOLE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-11",
"last_updated": "2020-07-11",
"certification_date": "2020-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "16091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
- Trevor Friesen Strang, M.S., CCC-SLP
- Lynne M. Strasfeld, MD
- Zvi Strassberg, PH.D.
- Dorothy Knouff Strasser, OTR
- Jill Cecile Strasser, PSY.D.
- Zephyr Teresa Strassner, BA, IPSS
- Strategic Pharmaceutical Solutions Inc (VetSource Home Delivery)
- Shannon Strathdee
- Alyssa Louise Stratton
- Jennifer Stratton, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.