Active NPI
Tear of the Buddha LLC
- Massage Therapist
- Portland, OR
National Provider Identifier
1770040057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- TEAR OF THE BUDDHA LLC
- Practice address
- 322 NW 5TH Ave
Portland, OR 97209-3825 - Phone
- (503) 227-0206
- NPI assigned
- Feb 22, 2019
- Last updated
- Feb 22, 2019
- 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
- Tara Jeanne Golliher, LMT
- Title
- Owner
- Phone
- (307) 699-7320
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
322 NW 5TH Ave
Portland, OR 97209-3825
Mailing address
9100 N Buchanan Ave
Portland, OR 97203-2433
Phone (307) 699-7320
National Provider Directory
National Provider DirectoryLocations
322 NW 5th Ave
Portland, OR 97209
Phone (503) 227-0206
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Massage Therapist
- Portland, OR
- NPI 1427515709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550793600000",
"number": "1770040057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9100 N BUCHANAN AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972032433",
"telephone_number": "307-699-7320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 NW 5TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972093825",
"telephone_number": "503-227-0206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEAR OF THE BUDDHA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-22",
"last_updated": "2019-02-22",
"status": "A",
"authorized_official_last_name": "GOLLIHER",
"authorized_official_first_name": "TARA",
"authorized_official_middle_name": "JEANNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "307-699-7320",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"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 Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.