Elisa A Stanley, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

10210 Issued in OR

Practice address

4838 NE Sandy Blvd
Ste. #200
Portland, OR 97213-2091

Phone

(503) 287-1510

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831216316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 NE HALSEY ST",
            "address_2": "APT. #17",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131556",
            "telephone_number": "503-810-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4838 NE SANDY BLVD",
            "address_2": "STE. #200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132091",
            "telephone_number": "503-287-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "ELISA",
        "middle_name": "A",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "10210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley L. Cohan, MD, Chartered
• Stanley W Bohnstedt DMD PC
• Mary Stanley-Thompson, RPH
• Caroline Stanley, PA-C
• Dionna D Stanley
• Jesse Eli Stanley, RN
• Laura Leanne Stanley, MA
• Lindsay Cook Stanley, M.D.
• Madison Stanley
• Michael Sean Stanley, M.D.

• 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 Jul 8, 2007; 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.