Crystal L O'Brien, CMA, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00023272 Issued in WA

Practice address

410 E North Bend Way
North Bend, WA 98045

Phone

(425) 888-5060

NPI assigned

Mar 2, 2007

Last updated

Feb 5, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Certified Medical Assistant

State licenses

Practice roles

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.

• North Bend Therapeutic Massage

  • Specialist
  • North Bend, WA
  • NPI 1316065899
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1932237609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7829 CENTER BLVD SE # 315",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659096",
            "telephone_number": "425-888-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E NORTH BEND WAY",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "98045",
            "telephone_number": "425-888-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "CRYSTAL",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "CMA, LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00023272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• North Bend Therapeutic Massage
• NW Medical LLC
• Tracy A Oban Bear, PTA
• Patrick Howard Odonnell, DDS
• Eric J Opsvig, D.D.S.
• Frankie Eugene Orr, LMP
• Elena Kathaleen Overland, LMP

• Massage Therapist in North Bend, WA
• Providers in North Bend, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.