Mallory Corrin Lawvor, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

21745 Issued in OR

Practice address

14631 SW Millikan Way Ste 11
Beaverton, OR 97003-2999

Phone

(503) 754-7949

Fax

(503) 662-6115

NPI assigned

Dec 23, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beaverton Massage Studio

  • Massage Therapist
  • Beaverton, OR
  • NPI 1265060966
  NPD (past) Authorized official

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1770948408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14631 SW MILLIKAN WAY STE 11",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970032999",
            "telephone_number": "503-754-7949",
            "fax_number": "503-662-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14631 SW MILLIKAN WAY STE 11",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970032999",
            "telephone_number": "503-754-7949",
            "fax_number": "503-662-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWVOR",
        "first_name": "MALLORY",
        "middle_name": "CORRIN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-23",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "21745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mallorylawvor.lmt@gmail.com",
            "affiliation": "N",
            "endpointDescription": "work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "10020 SW 125th Ave Apt 105",
            "city": "Beaverton",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970088130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Susan M Lawrence, LAC
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• Jamie Hanh Le
• Janene Le
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• Ivy Learned

• Massage Therapist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.