Organization Active NPI

Lareaux Beauty & Wellness

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1952007478
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
LAREAUX BEAUTY & WELLNESS
Practice address
2225 Lloyd Ctr
Portland, OR 97232-1315
Phone
(971) 380-8995
NPI assigned
Feb 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Sheqouya JohnsonNPI 1164128666
Title
Owner
Phone
(971) 380-8995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

2225 Lloyd Ctr
Portland, OR 97232-1315

Mailing address

4701 NE Killingsworth St Apt a
Portland, OR 97218-1989
Phone (971) 380-8995

Other names 1

  • Madame Lareaux Beauty Former legal business name

National Provider Directory

National Provider Directory

Locations

2225 Lloyd Ctr
Portland, OR 97232
Phone (503) 837-7368

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1952007478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 NE KILLINGSWORTH ST APT A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972181989",
            "telephone_number": "971-380-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 LLOYD CTR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321315",
            "telephone_number": "971-380-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAREAUX BEAUTY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHEQOUYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-380-8995"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madame Lareaux Beauty",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.