Individual provider Active NPI

Valerie Margaret Lyon, M.ED., L.M.T.

  • Mechanotherapist
  • Portland, OR
National Provider Identifier
1760600514
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
1209 Issued in OR
Practice address
316 NE 28TH Ave
Portland, OR 97232-3150
Phone
(503) 230-0812
Fax
(503) 233-9151
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 1209 OR Primary

Addresses

Primary practice location

316 NE 28TH Ave
Portland, OR 97232-3150

Mailing address

3005 SE Tibbetts St
316 NE 28TH Ave.
Portland, OR 97202-1944
Phone (503) 230-0812

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
1209ORMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760600514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 SE TIBBETTS ST",
            "address_2": "316 NE 28TH AVE.",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021944",
            "telephone_number": "503-230-0812",
            "fax_number": "503-233-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 NE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323150",
            "telephone_number": "503-230-0812",
            "fax_number": "503-233-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "VALERIE",
        "middle_name": "MARGARET",
        "credential": "M.ED., L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "OR",
            "license": "1209",
            "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 Jul 8, 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.

Verify at the official NPI Registry.