Pacific Crest Massage and Wellness

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

60415173 Issued in WA

Legal business name

PACIFIC CREST MASSAGE AND WELLNESS

Practice address

5115 NE 94TH Ave
D
Vancouver, WA 98662-6180

Phone

(360) 787-3904

NPI assigned

Sep 16, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Crystal Viola, LMP

Title

Licensed Massage Practitioner

Phone

(360) 787-3904

Specialties & licenses 1

Addresses

Other names 1

• Pacific Crest Massage Other name

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1912376328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 NE 34TH AVE",
            "address_2": "8",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650706",
            "telephone_number": "360-787-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 NE 94TH AVE",
            "address_2": "D",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626180",
            "telephone_number": "360-787-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CREST MASSAGE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "VIOLA",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "LICENSED MASSAGE PRACTITIONER",
        "authorized_official_telephone_number": "360-787-3904",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60415173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Crest Massage",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pacific Coast Medical Supply, Inc
• Pacific Dermatology P.C.
• Pacific Eye Group
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• Pacific Gastro Health PLLC
• Pacific Gastro Health PLLC

• Massage Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.