Anderson Therapeutic Massage Clinic

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

11-00008345 Issued in OR

Legal business name

ANDERSON THERAPEUTIC MASSAGE CLINIC

Practice address

655 NW Burnside Rd Ste 1
Gresham, OR 97030-3745

Phone

(503) 348-4794

Fax

(503) 667-3403

NPI assigned

Jun 9, 2011

Organization subpart

No

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

Authorized official

Name

Terri Lynn Anderson, LMT

Title

Massage Therapist/Owner

Phone

(503) 348-4794

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1831484633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SW FLORENCE AVE APT D15",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970807127",
            "telephone_number": "503-348-4794",
            "fax_number": "503-667-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 NW BURNSIDE RD STE 1",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303745",
            "telephone_number": "503-348-4794",
            "fax_number": "503-667-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON THERAPEUTIC MASSAGE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MASSAGE THERAPIST/OWNER",
        "authorized_official_telephone_number": "503-348-4794",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "11-00008345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abreham Andualem Amera
• Amplife Chiropractic and Sports Chiropractic
• Joseph Jungho An, O.D.
• David Arthur Andersen, R.PH.
• Elijah Andersen, CRM
• Donna Marie Anderson, MSW, QMHP
• Drew N Anderson, CADC-I, QMHA-1, CRM
• James Robert Anderson, DMD
• Jarren James Troy Anderson
• Krystle Anderson

• All providers in Gresham, OR
• Health Service Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.