Megan Kallas, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

21641 Issued in OR

Practice address

22124 NE Glisan St
Gresham, OR 97030-8553

Phone

(503) 618-0147

Fax

(503) 618-0148

NPI assigned

Oct 8, 2015

Last updated

Oct 8, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aspire Chiropractic & Massage Inc.

  dba Aspire Chiropractic & Massage

  • Chiropractor
  • Gresham, OR
  • NPI 1780923532
  NPD (past)

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1801267489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22124 NE GLISAN ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970308553",
            "telephone_number": "503-618-0147",
            "fax_number": "503-618-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22124 NE GLISAN ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970308553",
            "telephone_number": "503-618-0147",
            "fax_number": "503-618-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLAS",
        "first_name": "MEGAN",
        "credential": "L.M.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "21641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron L Kabb, M.D.
• Selam Kahassay
• Kaiser Foundation Health Plan of the Northwest
• Robert L Kalez, MD PC
• Kelly Jayne Kalk, D.C.
• Daniel Ken Kamada, PMHNP
• Pamela Kandt, HYGIENIST
• Kanewood Residential LLC
• Audry Kang, M.D.
• Jayley Joy Kappes

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.