Jolene E Lau, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

19021 Issued in OR

Practice address

501 NE Hood Ave Ste 205
Gresham, OR 97030-7325

Phone

(503) 674-7894

NPI assigned

Jul 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Jolene E Meyer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Active Family Chiropractic, LLC

  • Sports Physician Chiropractor
  • Gresham, OR
  • NPI 1104221530
  NPD (past)

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1831444090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NE HOOD AVE STE 205",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307325",
            "telephone_number": "503-674-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NE HOOD AVE STE 205",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307325",
            "telephone_number": "503-674-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "JOLENE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60286195",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "19021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLENE",
            "last_name": "MEYER",
            "middle_name": "E",
            "prefix": "MS.",
            "credential": "JOLENE E MEYER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Larkin, OTD
• Greta Katherine Larson, ARNP
• Sydney Mariah Laschober, SLP
• Latrece Gaither, LLC
• Alexander Herman Lau, M.D.
• Jordan M Laub, MD
• Tara Ann Lawhorn, CRM/PWS/QMHA-R
• Tiffany Lawrence
• Elizabeth Lawry, CCC-SLP
• Robert Lay, L.M.T

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.