Rachel Brigid Coleman Lesire, LMT CCA
Individual provider Active NPI Massage Therapist · Silverton, OR
NPI 1891152864 · NPPES record last updated Jan 21, 2016
Key facts
- NPI
- 1891152864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 11032 (OR)
- Practice address
- 306 Oak St
Silverton, OR 97381-1719 - Phone
- (503) 910-1908
- Fax
- (503) 874-4068
- NPI assigned
- Jan 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11032 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Oak Wellness LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 11032 | OR | Yes |
Addresses
Primary practice location
306 Oak St
Silverton, OR 97381-1719
Mailing address
306 Oak St
Silverton, OR 97381-1719
Phone (503) 910-1908
Other providers in Silverton, OR
- Erling Y Chavez
- Robert William Chisholm
- Kendall Christensen
- Kari A. Cline
- Clinton C. Sanford MD PC
- Shanti Colo
- Allen Fredrick Connick
- Christopher Vance Cooper
- Corey Geffken LMP
- Daniel Mario Cote
All providers in Silverton, OR · Massage Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.