Organization Active NPI

Eastern Flow Massage

  • Massage Therapist
  • Lebanon, OR
National Provider Identifier
1932673878
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
EASTERN FLOW MASSAGE
Practice address
764 S 2ND St
Lebanon, OR 97355-3244
Phone
(541) 286-5215
Fax
(844) 341-9622
NPI assigned
Jan 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Mrs. Sara Jean McEldowney, LMT
Title
Owner
Phone
(218) 340-8963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

764 S 2ND St
Lebanon, OR 97355-3244

Mailing address

764 S 2ND St
Lebanon, OR 97355-3244
Phone (541) 286-5215

Other identifiers 2

IdentifierTypeStateIssuer
1780834200OtherORNPI
1174066864OtherORNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1932673878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 S 2ND ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973553244",
            "telephone_number": "541-286-5215",
            "fax_number": "844-341-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 S 2ND ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973553244",
            "telephone_number": "541-286-5215",
            "fax_number": "844-341-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN FLOW MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "MCELDOWNEY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-340-8963",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1780834200",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174066864",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.