Amber Nicole Dodgson Sloan, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

12013 Issued in OR

Practice address

9375 SW Commerce Cir Ste A1
Wilsonville, OR 97070-9630

Phone

(503) 582-9200

Fax

(503) 682-1487

NPI assigned

Mar 23, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amber Nicole Dodgson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Complete Care Chiropractic PC

  • Preferred Provider Organization
  • Wilsonville, OR
  • NPI 1093984668
  NPD

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1730488248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16078 SW TUALATIN SHERWOOD RD",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408522",
            "telephone_number": "503-625-0100",
            "fax_number": "503-625-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 SW COMMERCE CIR STE A1",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709630",
            "telephone_number": "503-582-9200",
            "fax_number": "503-682-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "AMBER",
        "middle_name": "NICOLE DODGSON",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "12013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "DODGSON",
            "middle_name": "NICOLE",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Beverly J Smith, FNP
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• Massage Therapist in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.