NPIMap

Organization Active NPI

Body, Heart &Soul Massage

  • Specialist
  • West Linn, OR
National Provider Identifier
1922426121
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11662 Issued in OR
Legal business name
BODY, HEART &SOUL MASSAGE
Practice address
18813 Willamette Dr
West Linn, OR 97068-1711
Phone
(503) 621-2058
NPI assigned
Apr 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Authorized official

Name
Melanie Anna Mellis, LMTNPI 1275678922
Title
Owner
Phone
(503) 621-2058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 11662 OR Primary

Addresses

Primary practice location

18813 Willamette Dr
West Linn, OR 97068-1711

Mailing address

18813 Willamette Dr
West Linn, OR 97068-1711
Phone (503) 621-2058

National Provider Directory

National Provider Directory

Locations

18813 Willamette Dr
West Linn, OR 97068
Phone (503) 621-2058

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1922426121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18813 WILLAMETTE DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970681711",
            "telephone_number": "503-621-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18813 WILLAMETTE DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970681711",
            "telephone_number": "503-621-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY, HEART &SOUL MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "MELLIS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-621-2058",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "11662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.