Wise Blood Healing LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

WISE BLOOD HEALING LLC

Practice address

5118 SE Powell Blvd
Portland, OR 97206-3071

Phone

(971) 303-8377

NPI assigned

Feb 19, 2025

Organization subpart

No

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

Authorized official

Name

Diana Watson, LMT

Title

Owner

Phone

(910) 987-0601

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1871399022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5118 SE POWELL BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972063071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5118 SE POWELL BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972063071",
            "telephone_number": "971-303-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE BLOOD HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-987-0601",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wisdom Way Medicine, LLC
• Wisdom Within Wellness LLC (Kellyjoy Kanaley, LPC)
• Anna Wisdom
• Jennifer Wisdom
• Joseph Aaron Wisdom, DC
• Wise Chiropractic, LLC
• Wise Choice Educational Solutions, Inc.
• Deborah Wise, PH. D.
• Jeffery Wise, PMHNP-BC
• Lisa Wise, MD

• 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 Feb 19, 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.

Verify at the official NPI Registry.