Active NPI
Stephanie Starks
- Massage Therapist
- Portland, OR
National Provider Identifier
1720996309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 28140
- Practice address
- 2149 NE Broadway St
Portland, OR 97232-1580 - Phone
- (503) 281-0278
- NPI assigned
- Sep 1, 2026
- Sex
- Female
- 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 | 28140 | OR | Primary |
Addresses
Primary practice location
2149 NE Broadway St
Portland, OR 97232-1580
Mailing address
4610 NE 83Rd Ave Unit B
Portland, OR 97220-4889
Phone (971) 472-3249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1720996309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4610 NE 83RD AVE UNIT B",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972204889",
"telephone_number": "971-472-3249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2149 NE BROADWAY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321580",
"telephone_number": "503-281-0278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARKS",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "28140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
- Shane Stark, MEDICAL MASSAGE LMT
- Stuart G Stark, PT
- Joan E Starker, MSW PHD
- Leslie Jay Starkey, M.D.
- Elissa L Starks, MA,CADCI, LPC, NCC
- Starkwood Chiropractic
- Starling Oncology Or, a Professional Corporation (Starling Oncology)
- Starling Oncology Or, a Professional Corporation (Starling Oncology)
- Jerrell Lamon Starling, M.A., LMHCA
- Matthew T Staropoli, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.