Active NPI
Kent Lewis Valente Jr., LMT
- Massage Therapist
- Milwaukie, OR
National Provider Identifier
1730689670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 18496
- Practice address
- 4370 SE King Rd Ste 220
Milwaukie, OR 97222-1613 - Phone
- (503) 654-7400
- NPI assigned
- Feb 16, 2018
- Last updated
- Feb 16, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 18496 | OR | Primary |
Addresses
Primary practice location
4370 SE King Rd Ste 220
Milwaukie, OR 97222-1613
Mailing address
11908 SE 36TH Ave
Milwaukie, OR 97222-6904
Phone (503) 839-8587
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 |
|---|---|---|---|
| 18496 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCSM, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518739200000",
"number": "1730689670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11908 SE 36TH AVE",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972226904",
"telephone_number": "503-839-8587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4370 SE KING RD STE 220",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972221613",
"telephone_number": "503-654-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTE",
"first_name": "KENT",
"middle_name": "LEWIS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-16",
"last_updated": "2018-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "18496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.