Sarah Christine Doberneck, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

22083 Issued in OR

Practice address

2808 NE Martin Luther King Blvd
Portland, OR 97212-3060

Phone

(505) 507-6161

NPI assigned

Jul 29, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wildwood Bodywork & Massage Arts

  • Massage Therapist
  • Portland, OR
  • NPI 1326562547
  NPD (past) Authorized official

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

{
    "created_epoch": "1501286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1871017095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3522 NE 46TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131026",
            "telephone_number": "505-507-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 NE MARTIN LUTHER KING BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123060",
            "telephone_number": "505-507-6161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4423 NE Tillamook St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972131317",
            "country_code": "US",
            "telephone_number": "505-507-6161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOBERNECK",
        "first_name": "SARAH",
        "middle_name": "CHRISTINE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "22083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tori Thanh Doan, PHARM D
• Lisa Doane
• Penny Rae Dobbins-Charbonneau
• Cassidy Dobek, CPM LDM
• Julie W Doberne, M.D., PH.D.
• Sarah Saint John Dobey, LPC, MAC, ACS
• Anna Dobie Goldfarb, BCBA
• Jennifer A Dobie, MSW, LCSW
• Elliot A Dobkin, DO
• Sarah Mae Doble

• 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 Mar 17, 2018; 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.