Active NPI
Brooks Briasson Faris II
- Massage Therapist
- Portland, OR
National Provider Identifier
1720330533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 19135
- Practice address
- 1070 NW Murray Rd
Suite a
Portland, OR 97229-5568 - Phone
- (503) 644-5100
- NPI assigned
- Oct 4, 2012
- Last updated
- Oct 4, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 19135 | OR | Primary |
Addresses
Primary practice location
1070 NW Murray Rd
Suite a
Portland, OR 97229-5568
Mailing address
3806 SE Ivon St
Portland, OR 97202-1649
Phone (503) 730-5018
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 |
|---|---|---|---|
| 19135 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Conroy DC LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349308800000",
"number": "1720330533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3806 SE IVON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021649",
"telephone_number": "503-730-5018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 NW MURRAY RD",
"address_2": "SUITE A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972295568",
"telephone_number": "503-644-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARIS",
"first_name": "BROOKS",
"middle_name": "BRIASSON",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-04",
"last_updated": "2012-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "19135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.