Kate Green, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

20508 Issued in OR

Legal business name

KATE GREEN, LMT

Practice address

3605 SE 26TH Ave
Portland, OR 97202-2953

Phone

(609) 828-1012

NPI assigned

Apr 15, 2015

Organization subpart

No

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

Authorized official

Name

Kate Green

Title

Owner

Phone

(609) 828-1012

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1922494012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 SE BROOKLYN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972022133",
            "telephone_number": "609-828-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 SE 26TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972022953",
            "telephone_number": "609-828-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATE GREEN, LMT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-828-1012"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "20508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Apr 15, 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.