NPIMap

Organization Active NPI

Holding Space Massage

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1750713160
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18250 Issued in OR
Legal business name
HOLDING SPACE MASSAGE
Practice address
1236 NE 80TH Ave
Portland, OR 97213-6834
Phone
(503) 389-5579
NPI assigned
Aug 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Arwyn Daemyir, LMTNPI 1285097261
Title
Owner
Phone
(503) 389-5579

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 18250 OR Primary

Addresses

Primary practice location

1236 NE 80TH Ave
Portland, OR 97213-6834

Mailing address

1236 NE 80TH Ave
Portland, OR 97213-6834
Phone (503) 389-5579

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1750713160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 NE 80TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972136834",
            "telephone_number": "503-389-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 NE 80TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972136834",
            "telephone_number": "503-389-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLDING SPACE MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "DAEMYIR",
        "authorized_official_first_name": "ARWYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-389-5579",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "18250",
            "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 Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.