Michelle Renee Gilham, LMT/CNA

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

LMT25461 Issued in OR

Practice address

16560 S.E. 80TH Ave, Portland Or 97267
19650 SE 80TH Ave
Portland, OR 97267

Phone

(503) 799-0350

NPI assigned

Apr 17, 2020

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

Other names 1

• Ms. Michelle Renee Smeltzer Former name

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": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1851911036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19605 RIVER RD UNIT 15",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "97027",
            "telephone_number": "503-799-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16560 S.E. 80TH AVE, PORTLAND OR 97267",
            "address_2": "19650 SE 80TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97267",
            "telephone_number": "503-799-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILHAM",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "credential": "LMT/CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2023-08-30",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "LMT25461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "SMELTZER",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Giles, D.C.
• Sally Giles, LPC, ATR-BC
• Stephen G. Giles, PA
• Perla Sabeniano Gilfillan, R.D.H.
• Jerome Thomas Gilgan, CADC I
• Jennifer Gilhooly, CPNP
• Joseph Thomas Gilhooly, MD
• Whitney Gilkerson, PMHNP
• Gwyneth Gilkeson
• Jeannine Marie Gilkeson, MSN

• 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 Aug 30, 2023; 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.