Carleen Evans, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

20620 Issued in OR

Practice address

18676 SW Boones Ferry Rd
Tualatin, OR 97062-8435

Phone

(971) 404-1736

NPI assigned

Nov 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Carleen Ashton Former 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.

• Go to the Zone Wellness

  • Massage Therapist
  • Tualatin, OR
  • NPI 1629893615

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1811178189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15703 SW WILLOW CT",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408697",
            "telephone_number": "503-867-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18676 SW BOONES FERRY RD",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628435",
            "telephone_number": "971-404-1736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 NE Irving St",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972322243",
            "country_code": "US",
            "telephone_number": "503-233-4356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "CARLEEN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "20620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLEEN",
            "last_name": "ASHTON",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric W Long MD PC
• Amunyo Sarah Eropu
• Erwin Weichel DMD Ms PC
• Vahid Thomas Eshraghi, D.M.D
• Bryan S Euzent, DDS
• Rick A Evans, DDS
• Travis R Evans, D.M.D
• Brent K Evetts, M.D.
• Eye Health Northwest P.C.
• Family Health and Wellness, P.C. (Family Health and Wellness)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.