Active NPI
Rowena Belle Portch, LMP, LAMP
- Specialist
- Silverdale, WA
National Provider Identifier
1730392978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00024197
- Practice address
- 2400 NW Myhre Rd
Silverdale, WA 98383-7672 - Phone
- (360) 229-3470
- NPI assigned
- May 7, 2007
- Last updated
- Apr 5, 2013
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA00024197 | WA | Primary |
Addresses
Primary practice location
2400 NW Myhre Rd
Silverdale, WA 98383-7672
Mailing address
PO Box 2778
3521 NW Princeton Lane, 12-103
Silverdale, WA 98383-2778
Phone (360) 229-3470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA00024197 | Other | WA | MASSAGE THERAPIST |
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 |
|---|---|---|---|
| MA00024197 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365120000000",
"number": "1730392978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2778",
"address_2": "3521 NW PRINCETON LANE, 12-103",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983832778",
"telephone_number": "360-229-3470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 NW MYHRE RD",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983837672",
"telephone_number": "360-229-3470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTCH",
"first_name": "ROWENA",
"middle_name": "BELLE",
"name_prefix": "Mrs.",
"credential": "LMP, LAMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2013-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00024197",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPIST",
"identifier": "MA00024197",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.