Organization Active NPI

Medical Massage N.W. L.L.C

  • Massage Therapist
  • Wilsonville, OR
National Provider Identifier
1760760532
Registry record updated Jul 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MEDICAL MASSAGE N.W. L.L.C
Practice address
8655 SW Citizens Dr
Suite 206
Wilsonville, OR 97070-7475
Phone
(503) 516-5354
NPI assigned
Jul 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2011

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

Authorized official

Name
Ms. Nicole Michelle Sanders, L.M.T
Title
Owner/ LMT
Phone
(503) 516-5354

Specialties & licenses 1

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

Addresses

Primary practice location

8655 SW Citizens Dr
Suite 206
Wilsonville, OR 97070-7475

Mailing address

8655 SW Citizens Dr
Suite 206
Wilsonville, OR 97070-7475
Phone (503) 516-5354

National Provider Directory

National Provider Directory

Locations

8655 SW Citizens Dr
Ste 206
Wilsonville, OR 97070
Phone (503) 516-5354

NPI Registry JSON

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311811200000",
    "number": "1760760532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8655 SW CITIZENS DR",
            "address_2": "SUITE 206",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970707475",
            "telephone_number": "503-516-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8655 SW CITIZENS DR",
            "address_2": "SUITE 206",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970707475",
            "telephone_number": "503-516-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MASSAGE N.W. L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-07-28",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/ LMT",
        "authorized_official_telephone_number": "503-516-5354",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.M.T"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilsonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; 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.