Active NPI
Kimber Donnelly
- Massage Therapist
- Portland, OR
National Provider Identifier
1841181146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 29094
- Practice address
- 7318 N Leavitt Ave
Portland, OR 97203-4840 - Phone
- (503) 567-5880
- NPI assigned
- Jul 14, 2025
- Last updated
- Jul 14, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 29094 | OR | Primary |
Addresses
Primary practice location
7318 N Leavitt Ave
Portland, OR 97203-4840
Mailing address
7318 N Leavitt Ave
Portland, OR 97203-4840
Phone (503) 567-5880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29094 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Foot Healing LLC | Massage Therapist | Current | Accepting new patients |
Locations
7318 N Leavitt Ave
Portland, OR 97203
Phone (503) 567-5880
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1841181146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7318 N LEAVITT AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972034840",
"telephone_number": "503-567-5880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7318 N LEAVITT AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972034840",
"telephone_number": "503-567-5880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONNELLY",
"first_name": "KIMBER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-14",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "29094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.