Active NPI
Medical Massage N.W. L.L.C
- Massage Therapist
- Wilsonville, OR
National Provider Identifier
1760760532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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 DirectoryLocations
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.