Gold Soma Wellness Spa LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

GOLD SOMA WELLNESS SPA LLC

Doing business as

Soma Wellness Spa

Practice address

7177 NE Imbrie Dr
Hillsboro, OR 97124-7594

Phone

(503) 747-6244

NPI assigned

Jan 31, 2025

Last updated

Jan 31, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bhavana Jaiswal, OWNER

Title

Owner

Phone

(503) 747-6244

Specialties & licenses 1

Addresses

Other names 1

• Soma Wellness Spa Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshua Song Han

  • Massage Therapist
  • Hillsboro, OR
  • NPI 1598307951
  NPD
• Noelle Reese

  • Massage Therapist
  • Hillsboro, OR
  • NPI 1124852017
  NPD
• Taylor Schafer, LMT

  • Massage Therapist
  • Hillsboro, OR
  • NPI 1447171533
  NPD (past)

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1881407963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16814 NW MILCLIFF ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972291162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7177 NE IMBRIE DR",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247594",
            "telephone_number": "503-747-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD SOMA WELLNESS SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "JAISWAL",
        "authorized_official_first_name": "BHAVANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-747-6244",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soma Wellness Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Glick, M.D.
• Elizabeth Ann Glover
• Arielle M Goad
• Haitram Gobin, RN
• Chad R Goins, MD
• Taylor Goldberg, MD
• Christy Goldstandt, LPC
• Sabrina Gomez Guerrero, PSY. D., LPC
• Cesaly Gomez-Rodriguez
• Elaine E Gomez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.