Velma Marie Amaya-Medina
Individual provider Active NPI Massage Therapist · Wilsonville, OR
NPI 1730550344 · NPPES record last updated Oct 8, 2015
Key facts
- NPI
- 1730550344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 16897 (OR)
- Practice address
- 8695 SW Jack Burns Blvd Ste E
Wilsonville, OR 97070-5797 - Phone
- (503) 427-2698
- NPI assigned
- Oct 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16897 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suke Enterprises, Inc. | Massage Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 16897 | OR | Yes |
Addresses
Primary practice location
8695 SW Jack Burns Blvd Ste E
Wilsonville, OR 97070-5797
Mailing address
8695 SW Jack Burns Blvd Ste E
Wilsonville, OR 97070-5797
Phone (503) 427-2698
Other providers in Wilsonville, OR
- Alamo Chiropractic
- Michelle Alderete
- Delaney Aldous
- Lynn Ann Alexander
- Alive Acupuncture & Wellness Center
- Kenya Amos
- Carla Rayne Anderson
- Marina L Anderson
- Suzanne Yeates Anderson
- Anne Pernichele DC PC
All providers in Wilsonville, OR · Massage Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.