Organization Active NPI

Chandara Bodyworks LLC

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1811302151
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
20487 Issued in OR
Legal business name
CHANDARA BODYWORKS LLC
Practice address
1033 SW Yamhill St Ste 405
Portland, OR 97205-2540
Phone
(503) 488-5488
NPI assigned
Jun 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Authorized official

Name
Satheara Teeuwen, LMT
Title
Owner
Phone
(503) 314-7477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 20487 OR Primary

Addresses

Primary practice location

1033 SW Yamhill St Ste 405
Portland, OR 97205-2540

Mailing address

1033 SW Yamhill St Ste 405
Portland, OR 97205-2540
Phone (503) 488-5488

National Provider Directory

National Provider Directory

Locations

1033 SW Yamhill St
Ste 405
Portland, OR 97205
Phone (503) 488-5488

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1811302151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 SW YAMHILL ST STE 405",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052540",
            "telephone_number": "503-488-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 SW YAMHILL ST STE 405",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052540",
            "telephone_number": "503-488-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDARA BODYWORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "TEEUWEN",
        "authorized_official_first_name": "SATHEARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-314-7477",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "20487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.