Active NPI
Melissa Olsen
- Massage Therapist
- Port Orchard, WA
National Provider Identifier
1730588518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60322817
- Practice address
- 3664 SE Baker Rd
Port Orchard, WA 98367-7874 - Phone
- (360) 710-0709
- NPI assigned
- Aug 18, 2014
- Last updated
- Aug 18, 2014
- 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 | MA 60322817 | WA | Primary |
Addresses
Primary practice location
3664 SE Baker Rd
Port Orchard, WA 98367-7874
Mailing address
PO Box 25
Southworth, WA 98386-0025
Phone (360) 710-0709
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 |
|---|---|---|---|
| MA 60322817 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408320000000",
"number": "1730588518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25",
"city": "SOUTHWORTH",
"state": "WA",
"postal_code": "983860025",
"telephone_number": "360-710-0709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3664 SE BAKER RD",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983677874",
"telephone_number": "360-710-0709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-18",
"last_updated": "2014-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60322817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orchard, WA
- Ifesinachi S Oguakwa, MD
- Elisabeth Joy Olander, L.M.P.
- Sophie Christine Oleachea
- Anastasia S Oleinikov, LMP
- Deborah Christine Olin, CDPT
- Patrick D Olsen, ATC
- Olympic Peaks Optical
- Olympic Peninsula Kidney Center (Olympic Peninsula Kidney Center South)
- Olympic Surgical Associates
- Laurie Ann Oneill, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.