Chantel Camille Roice, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

27706 Issued in OR

Practice address

4050 NE Broadway St
Portland, OR 97232-1828

Phone

(307) 710-4929

NPI assigned

May 19, 2023

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

Other names 1

• Tillie Camille Roice Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Frog and Willow LLC

  • Massage Therapist
  • Portland, OR
  • NPI 1235940537
  NPD Authorized official
• Fern & Fae Massage

  • Massage Therapist
  • Vancouver, WA
  • NPI 1255038295
  NPD (past)

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736640000000",
    "number": "1790476679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 SW CAROLINA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972391038",
            "telephone_number": "307-710-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 NE BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321828",
            "telephone_number": "307-710-4929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E 19th St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986633385",
            "country_code": "US",
            "telephone_number": "360-313-6465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROICE",
        "first_name": "CHANTEL",
        "middle_name": "CAMILLE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "27706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TILLIE",
            "last_name": "ROICE",
            "middle_name": "CAMILLE",
            "credential": "LMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chelsea Rohrer, PHARMD
• Daniel C Rohrer, M.D.
• Courtney Rohrig, DPT
• Alexandria Rohrlick
• Sydney Lynn Rohrs
• Kevin Rojas Moreno
• Alyssa Rojas
• Giovann Michelle Rojas
• Rocio Carolina Rojas
• Alida Neeltje Rol, M.D.

• 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 Jan 12, 2025; 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.