Ron Fennern

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

901 Brutscher St Ste 208
Newberg, OR 97132-6097

Phone

(503) 538-0100

NPI assigned

Oct 16, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oregon Massage Clinic

  • Massage Therapist
  • Newberg, OR
  • NPI 1124616057
  NPD Authorized official

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1881160992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BRUTSCHER ST STE 208",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971326097",
            "telephone_number": "503-538-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BRUTSCHER ST STE 208",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971326097",
            "telephone_number": "503-538-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNERN",
        "first_name": "RON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF MASSAGE THERAPY",
            "identifier": "17659",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF MASSAGE THERAPY",
            "identifier": "18540",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF MASSAGE THERAPY",
            "identifier": "21602",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF MASSAGE THERAPY",
            "identifier": "23534",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF MASSAGE THERAPY",
            "identifier": "11904",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eye Health Northwest P.C.
• Karen Fahsholz, QMHA
• Barbara Zeisloft Falbey, MS, CCC-SLP
• Rebecca Felde
• Sheryl A Fendall, L.M.T.
• Kara Fenton, MS, OTR/L
• James Thompson Ferguson, PA-C
• Shaeli Ferguson, M.A., LPC
• First Step Adolescent & Adult Treatment Center
• Matthew Charles Fischer, M.D.

• Massage Therapist in Newberg, OR
• Providers in Newberg, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.