Individual provider Active NPI

Christine Nicholas-Jenani

  • Massage Therapist
  • Gresham, OR
National Provider Identifier
1922978808
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
29341 Issued in OR
Practice address
1733 E Powell Blvd Ste 102
Gresham, OR 97030-8013
Phone
(503) 740-6343
NPI assigned
Nov 6, 2025
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1062391 OR
Massage Therapist 225700000X 29341 OR Primary

Addresses

Primary practice location

1733 E Powell Blvd Ste 102
Gresham, OR 97030-8013

Mailing address

7715 SW Bonita Rd Apt 35
Portland, OR 97224-8136
Phone (415) 595-4997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1062391ORMDOccupational Therapy Assistant
29341ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Soul's Equilibrium, LLC Massage Therapist Current Accepting new patients
Soully Aware LLC Massage Therapist CurrentSince Nov 9, 2025 Accepting new patients

Locations

1733 E Powell Blvd
Ste 102
Gresham, OR 97030
Phone (503) 740-6343

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1922978808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 SW BONITA RD APT 35",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972248136",
            "telephone_number": "415-595-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 E POWELL BLVD STE 102",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970308013",
            "telephone_number": "503-740-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS-JENANI",
        "first_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OR",
            "license": "1062391",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "29341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.