Individual provider Active NPI

Shera Lynn Murray

  • Massage Therapist
  • Tigard, OR
National Provider Identifier
1790140655
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
21760 Issued in OR
Practice address
7155 SW Varns St
Suite 110
Tigard, OR 97223-8174
Phone
(503) 747-4217
NPI assigned
Dec 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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 21760 OR Primary

Addresses

Primary practice location

7155 SW Varns St
Suite 110
Tigard, OR 97223-8174

Mailing address

15349 SW Roundtree Dr
Tigard, OR 97223-0609
Phone (858) 229-4184

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

State licenses

LicenseStateTypeSpecialty
21760ORMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1450483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1790140655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15349 SW ROUNDTREE DR",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972230609",
            "telephone_number": "858-229-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7155 SW VARNS ST",
            "address_2": "SUITE 110",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238174",
            "telephone_number": "503-747-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "SHERA LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-19",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "21760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.