Individual provider Active NPI

Sierra Bangs

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1962366997
Registry record updated Dec 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
29402 Issued in OR
Practice address
4526 SE 104TH Ave
Portland, OR 97266-3502
Phone
(808) 937-0153
NPI assigned
Dec 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2025

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 29402 OR Primary

Addresses

Primary practice location

4526 SE 104TH Ave
Portland, OR 97266-3502

Mailing address

4526 SE 104TH Ave
Portland, OR 97266-3502
Phone (808) 937-0153

Other practice location 1

12741 NE Halsey St
Portland, OR 97230-2343
Phone (503) 255-0306

Other practice location 2

7318 N Leavitt Ave
Portland, OR 97203-4840
Phone (808) 937-0153

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
Credentials
Master of Theology

State licenses

LicenseStateTypeSpecialty
29402ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Foot Healing LLC Massage Therapist PastSince Jul 21, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765584000000",
    "number": "1962366997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4526 SE 104TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972663502",
            "telephone_number": "808-937-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4526 SE 104TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972663502",
            "telephone_number": "808-937-0153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12741 NE Halsey St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972302343",
            "country_code": "US",
            "telephone_number": "503-255-0306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7318 N Leavitt Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972034840",
            "country_code": "US",
            "telephone_number": "808-937-0153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANGS",
        "first_name": "SIERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-13",
        "last_updated": "2025-12-13",
        "certification_date": "2025-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "29402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 13, 2025; 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.