Pavones Holdings, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

PAVONES HOLDINGS, LLC

Practice address

2200 Broadway St Ste F
Vancouver, WA 98663-3255

Phone

(360) 989-0312

NPI assigned

Apr 22, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Lewis, LMT

Title

Manager

Phone

(360) 989-0312

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1871175554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SE 160TH AVE STE 103-213",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848911",
            "telephone_number": "360-989-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BROADWAY ST STE F",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633255",
            "telephone_number": "360-989-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVONES HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-989-0312",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "other",
            "affiliation": "N",
            "endpointDescription": "other",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "2200 Broadway St Ste F",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986633255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diane Louise Paulson
• Victoria Dawn Paulus, ARNP
• Nelya Yuriyevna Pavlenko, MD
• Olya Pavlishina, LMFT
• Carolynn Jean Pavlock, DC
• Pax Family Counseling
• Payette Clinics, PC
• Courtney Elizabeth Payne, MS, RD
• Deborah Payne, LMP
• Richard Barton Payne, O.D

• Massage Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.