Organization Active NPI

Blissful Balance LLC

  • Massage Therapist
  • Clackamas, OR
National Provider Identifier
1972223543
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
BLISSFUL BALANCE LLC
Doing business as
Blissful Balance LLC
Practice address
15480 SE 82ND Dr Ste B
Clackamas, OR 97015-9633
Phone
(971) 998-8107
NPI assigned
Sep 1, 2022
Last updated
Sep 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Tamara DuarteNPI 1265152607
Title
LMT
Phone
(971) 998-8107

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 Therapist 225700000X NU Primary

Addresses

Primary practice location

15480 SE 82ND Dr Ste B
Clackamas, OR 97015-9633

Mailing address

1240 SE 130TH Ave
Portland, OR 97233-1620
Phone (971) 998-8107

Other names 1

  • Blissful Balance LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1972223543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 SE 130TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331620",
            "telephone_number": "971-998-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15480 SE 82ND DR STE B",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159633",
            "telephone_number": "971-998-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISSFUL BALANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "DUARTE",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "LMT",
        "authorized_official_telephone_number": "971-998-8107"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blissful Balance LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.