Organization Active NPI

Integrative Medical Massage LLC

  • Massage Therapist
  • Beaverton, OR
National Provider Identifier
1801454772
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
INTEGRATIVE MEDICAL MASSAGE LLC
Practice address
3800 SW Cedar Hills Blvd Ste 229
Beaverton, OR 97005-4761
Phone
(503) 913-8112
NPI assigned
Jun 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Authorized official

Name
Aaron Lee Bates, LMT
Title
Owner/Manager
Phone
(503) 913-8112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

3800 SW Cedar Hills Blvd Ste 229
Beaverton, OR 97005-4761

Mailing address

3800 SW Cedar Hills Blvd Ste 229
Beaverton, OR 97005-4761
Phone (503) 913-8112

National Provider Directory

National Provider Directory

Locations

3800 SW Cedar Hills Blvd
Ste 229
Beaverton, OR 97005
Phone (503) 626-6014

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1801454772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 SW CEDAR HILLS BLVD STE 229",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054761",
            "telephone_number": "503-913-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SW CEDAR HILLS BLVD STE 229",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054761",
            "telephone_number": "503-913-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICAL MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "503-913-8112",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.