Amanda Watkins

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

27624 Issued in OR

Practice address

510 NE Dekum St
Portland, OR 97211-2926

Phone

(503) 383-9589

NPI assigned

Oct 8, 2026

Last updated

Oct 8, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1831094101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 N GANTENBEIN AVE APT 306",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172856",
            "telephone_number": "808-205-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 NE DEKUM ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972112926",
            "telephone_number": "503-383-9589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "539 NW 13th Ave # 410",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972093000",
            "country_code": "US",
            "telephone_number": "503-809-7676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "6048",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "27624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Watershed Community Wellness LLC (Watershed Community Wellness)
• Tiffany A Waterson
• Mary C. Wathen, ARNP, CNM
• Adam C Watkins
• Alicia Watkins
• Glynis Honoria Watkins
• James E Watkins, MD
• James William Watkins IV, M.D.
• Jamie Lynn Watkins, RN
• Jermecia Joy Watkins, MSW

• 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 Oct 8, 2026; 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.