Avalon Holistic Therapies, LLC

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

17372 Issued in OR

Legal business name

AVALON HOLISTIC THERAPIES, LLC

Practice address

2927 SE 73Rd Ave
Hillsboro, OR 97123-6223

Phone

(503) 640-7722

Fax

(503) 649-8884

NPI assigned

Jul 11, 2011

Last updated

Oct 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ann-Marie Kristine Hall-Pond, LMTNPI 1659660520

Title

Owner/Managing Member

Phone

(503) 544-2463

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ann-Marie Kristine Hall-Pond, LMT, LMP

  • Mechanotherapist
  • Hillsboro, OR
  • NPI 1659660520
  NPD Authorized official

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1932497047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 SE 73RD AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971236223",
            "telephone_number": "503-544-2463",
            "fax_number": "360-828-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 SE 73RD AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971236223",
            "telephone_number": "503-640-7722",
            "fax_number": "503-649-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON HOLISTIC THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "HALL-POND",
        "authorized_official_first_name": "ANN-MARIE",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "503-544-2463",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "OR",
            "license": "17372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mechanotherapist in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Mechanotherapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.