M for Massage

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

12412 Issued in OR

Legal business name

M FOR MASSAGE

Practice address

2534 NW Vaughn St
Portland, OR 97210-2552

Phone

(503) 477-9028

NPI assigned

Apr 5, 2011

Organization subpart

No

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

Authorized official

Name

Earl Espinoza

Title

Ceo

Phone

(503) 477-6121

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1861781379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 NW VAUGHN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102552",
            "telephone_number": "503-477-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 NW VAUGHN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102552",
            "telephone_number": "503-477-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M FOR MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "ESPINOZA",
        "authorized_official_first_name": "EARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-477-6121"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "12412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Wade Lysne, CADC-R, CRM1
• Monica Ann Lyster, RDH, BA
• Jacob Lythgoe
• Maria Lytle
• Katherine A Lyttle, PT
• M Howard Weinstein MD PC
• M. Hundley Suber, LLC
• M. Kwon. P.C., Inc.
• M'Illumino Natural Medicine LLC
• Addie Ma

• 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 Apr 5, 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.