Lifelong Wellness Center, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

LIFELONG WELLNESS CENTER, LLC

Practice address

736 SE 60TH Ave
Portland, OR 97215-1906

Phone

(503) 673-2858

NPI assigned

Dec 21, 2018

Organization subpart

No

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

Authorized official

Name

Adinah Barlow, LMT

Title

Owner

Phone

(503) 935-9289

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1780156240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 SE 60TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151906",
            "telephone_number": "503-673-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 SE 60TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151906",
            "telephone_number": "503-673-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELONG WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "BARLOW",
        "authorized_official_first_name": "ADINAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-935-9289",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.