Individual provider Active NPI

Tatyana Mikhlina, LMT

  • Massage Therapist
  • Tualatin, OR
National Provider Identifier
1780462697
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
25371 Issued in OR
Practice address
8147 SW Seneca St
Tualatin, OR 97062-8416
Phone
(503) 869-7470
Fax
(971) 358-8082
NPI assigned
Sep 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 25371 OR Primary

Addresses

Primary practice location

8147 SW Seneca St
Tualatin, OR 97062-8416

Mailing address

8147 SW Seneca St
Tualatin, OR 97062-8416
Phone (503) 869-7470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Theology

State licenses

LicenseStateTypeSpecialty
25371ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Massage Comfort and Spa Inc Massage Therapist PastSince Apr 17, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1780462697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8147 SW SENECA ST",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628416",
            "telephone_number": "503-869-7470",
            "fax_number": "971-358-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8147 SW SENECA ST",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628416",
            "telephone_number": "503-869-7470",
            "fax_number": "971-358-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKHLINA",
        "first_name": "TATYANA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "25371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.