Optima Clinic, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

11769 Issued in OR

Legal business name

OPTIMA CLINIC, LLC

Practice address

3800 SW Cedar Hills Blvd
Suite 203
Beaverton, OR 97005-2027

Phone

(503) 526-0734

Fax

(503) 715-3182

NPI assigned

Mar 28, 2007

Last updated

Aug 22, 2020By 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

Stacey Hankins, LMTNPI 1154855203

Title

Registered Agent

Phone

(503) 526-0734

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Stacey Hankins, LMT

  • Massage Therapist
  • Beaverton, OR
  • NPI 1154855203
  Authorized official Same address or phone

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912026022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 SW CEDAR HILLS BLVD",
            "address_2": "SUITE 203",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052027",
            "telephone_number": "503-526-0734",
            "fax_number": "503-715-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SW CEDAR HILLS BLVD",
            "address_2": "SUITE 203",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052027",
            "telephone_number": "503-526-0734",
            "fax_number": "503-715-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANKINS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "503-526-0734",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "11769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanelle Maglanoc Ong, NP
• Yuriko Onuma, LMT
• Amarachi Cynthia Onuoha, PHARM D
• Jacob Oostendorp, LPC
• Opal Institute LLC
• Optimal Care Transport Company
• Optimal Home Care Agency Company
• Option 1 Northwest Enteral, LLC (Aveanna Healthcare Medical Solutions)
• Optum Behavioral Care of Colorado, P.C. (Urban Counseling Collective of Oregon)
• Or Weightloss

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.