Brittany Courtney, LMT
Individual provider Active NPI Massage Therapist · Gresham, OR
NPI 1730665993 · NPPES record last updated Jul 11, 2018
Key facts
- NPI
- 1730665993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 24443 (OR)
- Practice address
- 1217 NE Burnside Rd Ste 301
Gresham, OR 97030-5705 - Phone
- (503) 492-2625
- Fax
- (503) 492-2355
- NPI assigned
- Jul 11, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 24443 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance Health & Injury Clinic, PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 24443 | OR | Yes |
Addresses
Primary practice location
1217 NE Burnside Rd Ste 301
Gresham, OR 97030-5705
Mailing address
1217 NE Burnside Rd Ste 301
Gresham, OR 97030-5705
Phone (503) 492-2625
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2018. 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.