Organization Active NPI

Mimi Asian Massage & Spa

  • Massage Therapist
  • Clackamas, OR
National Provider Identifier
1811622236
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MIMI ASIAN MASSAGE & SPA
Practice address
14981 SE 82ND Dr
Clackamas, OR 97015-7612
Phone
(503) 985-9777
NPI assigned
Jul 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Lanying HouNPI 1265167688
Title
Licensed Massage Therapist
Phone
(503) 781-1360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

14981 SE 82ND Dr
Clackamas, OR 97015-7612

Mailing address

16835 S Cliff View Dr
Oregon City, OR 97045-9412
Phone (503) 781-1360

Other practice location 1

1321 SE Tacoma St
Portland, OR 97202-6639
Phone (971) 710-5864

National Provider Directory

National Provider Directory

Locations

14981 SE 82nd Dr
Clackamas, OR 97015
Phone (503) 985-9777

1321 SE Tacoma St
Portland, OR 97202
Phone (971) 710-5864

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": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1811622236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16835 S CLIFF VIEW DR",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970459412",
            "telephone_number": "503-781-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14981 SE 82ND DR",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157612",
            "telephone_number": "503-985-9777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1321 SE Tacoma St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972026639",
            "country_code": "US",
            "telephone_number": "971-710-5864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIMI ASIAN MASSAGE & SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "HOU",
        "authorized_official_first_name": "LANYING",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "503-781-1360"
    },
    "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 Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.