Organization Active NPI

Alliance Clinic, PC

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1902945272
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
8242 Issued in OR
Legal business name
ALLIANCE CLINIC, PC
Practice address
5257 NE Martin Luther King Jr Blvd
Suite 303
Portland, OR 97211-3282
Phone
(503) 288-5857
Fax
(503) 288-1216
NPI assigned
Feb 5, 2007
Last updated
Apr 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Deigna Whitney, LMT
Title
Owner
Phone
(503) 288-5857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 8242 OR Primary

Addresses

Primary practice location

5257 NE Martin Luther King Jr Blvd
Suite 303
Portland, OR 97211-3282

Mailing address

5257 NE Martin Luther King Jr Blvd
Suite 303
Portland, OR 97211-3282
Phone (503) 288-5857

National Provider Directory

National Provider Directory

Locations

5257 NE Martin Luther King Jr Blvd
Ste 303
Portland, OR 97211
Phone (503) 288-5857

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1902945272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5257 NE MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 303",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113282",
            "telephone_number": "503-288-5857",
            "fax_number": "503-288-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5257 NE MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 303",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113282",
            "telephone_number": "503-288-5857",
            "fax_number": "503-288-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "DEIGNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-288-5857",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "8242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.