Michael Thomas Monteblanco

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

24573 Issued in OR

Practice address

3716 SE International Way
Portland, OR 97222-6001

Phone

(503) 659-0073

NPI assigned

Dec 17, 2018

Last updated

Dec 17, 2018By the provider in NPPES

Sex

Male

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.

• Keith D. Johns D.C., P.C.

  dba Milwaukie Chiropractic Center

  • Chiropractor
  • Milwaukie, OR
  • NPI 1659431286
  NPD (past)
• Milwaukie Chiropractic Center

  • Chiropractor
  • Milwaukie, OR
  • NPI 1174564934
  NPD (past)

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1801367768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12505 SW NORTH DAKOTA ST APT 1003",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972233289",
            "telephone_number": "503-750-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 SE INTERNATIONAL WAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972226001",
            "telephone_number": "503-659-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEBLANCO",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "24573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystalyna Montano
• Nilza Guadalupe Montano
• Montavilla Vision Professionals (Montavilla Vision)
• Alexis Montavon, BS
• Haley Monteblanco
• Jessica Montee
• Amanda Monteith
• Felicia Montejano
• Marissa Ann Montejano, SLP
• Candyce Monteleone

• 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 Dec 17, 2018; 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.