Individual provider Active NPI

Amy Chan

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1962382119
Registry record updated Sep 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MASS.MA.61638729 Issued in WA
Practice address
2501 NE 134TH St Ste 300
Vancouver, WA 98686-3030
Phone
(360) 690-0081
NPI assigned
Sep 6, 2025
Last updated
Sep 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 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 MASS.MA.61638729 WA Primary

Addresses

Primary practice location

2501 NE 134TH St Ste 300
Vancouver, WA 98686-3030

Mailing address

14304 NE 10TH St
Vancouver, WA 98684-7920

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
MASS.MA.61638729WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Salmon Creek Chiropractic CurrentSince Sep 8, 2025 Accepting new patients

Locations

2501 NE 134th St
Ste 300
Vancouver, WA 98686
Phone (360) 690-0081

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1757116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757116800000",
    "number": "1962382119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14304 NE 10TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986847920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 NE 134TH ST STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863030",
            "telephone_number": "360-690-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-06",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MASS.MA.61638729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.