Andrew Baxter

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

21103 Issued in OR

Practice address

2285 NW Johnson St
Portland, OR 97210-3236

Phone

(585) 469-0420

NPI assigned

Oct 19, 2016

Last updated

Oct 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1912458472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 NW JOHNSON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 NW JOHNSON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103236",
            "telephone_number": "585-469-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "ANDREW",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "21103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tovia Blair Bavly, DO
• Kelly Clark Bawden, MS, CCC-SLP
• Freda Brigitte Bax, PSY.D.
• Marie Baxani
• Aaron Baxter, LCSW
• Brett R Baxter, MD
• Elizabeth Susan Baxter, LMT
• Janes William Baxter Jr.
• Jennifer Rose Baxter, N.D.
• Kathleen Helmer Baxter

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.