Active NPI
Tranquil-O Massage LLC
- Massage Therapist
- Gresham, OR
National Provider Identifier
1780347468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- TRANQUIL-O MASSAGE LLC
- Practice address
- 1217 NE Burnside Rd # D-701
Gresham, OR 97030-6722 - Phone
- (503) 270-9133
- NPI assigned
- Oct 19, 2021
- 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
- Theresa Monroy, LMT
- Title
- Owner
- Phone
- (503) 270-9133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
1217 NE Burnside Rd # D-701
Gresham, OR 97030-6722
Mailing address
1217 NE Burnside Rd # D-701
Gresham, OR 97030-6722
Phone (503) 270-9133
National Provider Directory
National Provider DirectoryLocations
1217 NE Burnside Rd
#D701
Gresham, OR 97030
Phone (503) 270-9133
12732 SE Stark St
Portland, OR 97233
Phone (503) 514-1264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715212800000",
"number": "1780347468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 NE BURNSIDE RD # D-701",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970306722",
"telephone_number": "503-270-9133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 NE BURNSIDE RD # D-701",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970306722",
"telephone_number": "503-270-9133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANQUIL-O MASSAGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-19",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A",
"authorized_official_last_name": "MONROY",
"authorized_official_first_name": "THERESA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-270-9133",
"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 Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.