Individual provider Active NPI

Yannete Gaytan

  • Massage Therapist
  • Gresham, OR
National Provider Identifier
1952243727
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
29192 Issued in OR
Practice address
1748 NW Fairview Dr # a
Gresham, OR 97030-3842
Phone
(503) 492-3910
Fax
(503) 674-6706
NPI assigned
Apr 8, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 29192 OR Primary

Addresses

Primary practice location

1748 NW Fairview Dr # a
Gresham, OR 97030-3842

Mailing address

1748 NW Fairview Dr # a
Gresham, OR 97030-3842
Phone (503) 492-3910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
29192ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1952243727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 NW FAIRVIEW DR # A",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303842",
            "telephone_number": "503-492-3910",
            "fax_number": "503-674-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 NW FAIRVIEW DR # A",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303842",
            "telephone_number": "503-492-3910",
            "fax_number": "503-674-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYTAN",
        "first_name": "YANNETE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "29192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.