Sage Elaine Fisher, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

26509 Issued in OR

Practice address

6637 SE Milwaukie Ave Ste 207
Portland, OR 97202-5658

Phone

(971) 279-5638

NPI assigned

Jul 24, 2021

Last updated

Jan 14, 2022By 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

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.

• Emerald Family Medicine LLC

  • Clinic/Center
  • Portland, OR
  • NPI 1245633049
  NPD (past)
• Ritualuna Wellness LLC

  • Massage Therapist
  • Portland, OR
  • NPI 1447922042
  NPD (past)

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

{
    "created_epoch": "1627084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1932872165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4233 NE JARRETT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972181433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6637 SE MILWAUKIE AVE STE 207",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025658",
            "telephone_number": "971-279-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "SAGE",
        "middle_name": "ELAINE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-24",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Carmen Fisher
• Michelle Marie Fisher, MA, CADC APPLICANT
• Pamela Ann Fisher, M.D.
• Peter B Fisher, MD
• Rhonda Fisher, LCSW
• Sarah Fisher
• Sarah Lynn Fisher
• Sharaine Dawn Fisher, RD
• Stephanie Michelle Fisher, B.S.
• Taylor Lum Fisher

• 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 Jan 14, 2022; 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.