Organization Active NPI

Rosewater Healing Arts and Massage

  • Exclusive Provider Organization
  • North Bend, WA
National Provider Identifier
1881077261
Registry record updated Jul 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
MA00018402 Issued in WA
Legal business name
ROSEWATER HEALING ARTS AND MASSAGE
Practice address
213 Bendigo Blvd N Ste 3
North Bend, WA 98045-8259
Phone
(425) 435-5838
Fax
(866) 462-2960
NPI assigned
Jul 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2015

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

Authorized official

Name
Mrs. Susan J Brewer, LMP
Title
LMP
Phone
(425) 435-5838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X MA00018402 WA Primary

Addresses

Primary practice location

213 Bendigo Blvd N Ste 3
North Bend, WA 98045-8259

Mailing address

8552 Meadowbrook Way SE
Snoqualmie, WA 98065-9548
Phone (425) 435-5838

National Provider Directory

National Provider Directory

Locations

213 Bendigo Blvd N
#3
North Bend, WA 98045
Phone (425) 241-0196

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435881600000",
    "number": "1881077261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8552 MEADOWBROOK WAY SE",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659548",
            "telephone_number": "425-435-5838",
            "fax_number": "866-462-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 BENDIGO BLVD N STE 3",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458259",
            "telephone_number": "425-435-5838",
            "fax_number": "866-462-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEWATER HEALING ARTS AND MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-03",
        "last_updated": "2015-07-03",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LMP",
        "authorized_official_telephone_number": "425-435-5838",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "WA",
            "license": "MA00018402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2015; 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.