Active NPI
Rasa Willis, LMT
- Massage Therapist
- Portland, OR
National Provider Identifier
1740476266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13182
- Practice address
- 7417 SW Beaverton Hillsdale Hwy
Suit 200
Portland, OR 97225-2169 - Phone
- (503) 291-7155
- NPI assigned
- Sep 18, 2007
- Sex
- Female
- 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 | 13182 | OR | Primary |
Addresses
Primary practice location
7417 SW Beaverton Hillsdale Hwy
Suit 200
Portland, OR 97225-2169
Mailing address
11589 SW Davies Rd
Apt 3002
Beaverton, OR 97007-8327
Phone (503) 380-0176
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 |
|---|---|---|---|
| 13182 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspen Chiropractic Clinic, LLC | 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 and National Provider Directory roles.
-
- Health Service Clinic/Center
- Portland, OR
- NPI 1578736740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190073600000",
"number": "1740476266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11589 SW DAVIES RD",
"address_2": "APT 3002",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970078327",
"telephone_number": "503-380-0176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7417 SW BEAVERTON HILLSDALE HWY",
"address_2": "SUIT 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972252169",
"telephone_number": "503-291-7155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "RASA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-18",
"last_updated": "2007-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "13182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.