Organization Active NPI

Infinite Healing

  • Mastectomy Fitter
  • Beaverton, OR
National Provider Identifier
1972395556
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mastectomy FitterTaxonomy code 224900000X
Legal business name
INFINITE HEALING
Practice address
6700 SW 105TH Ave Ste 214
Beaverton, OR 97008-8824
Phone
(503) 730-4754
NPI assigned
May 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Kristine KingNPI 1023441060
Title
Owner
Phone
(503) 730-4754

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
Mastectomy FitterGroup: 193400000X SINGLE SPECIALTY GROUP 224900000X Primary

Addresses

Primary practice location

6700 SW 105TH Ave Ste 214
Beaverton, OR 97008-8824

Mailing address

8654 NE Dyer St
Portland, OR 97220-5266
Phone (503) 730-4754

Other names 1

  • Infinite Healing Doing business as

National Provider Directory

National Provider Directory

Locations

6700 SW 105th Ave
Ste 214
Beaverton, OR 97008
Phone (503) 730-4754

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": "1747699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1972395556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8654 NE DYER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972205266",
            "telephone_number": "503-730-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 SW 105TH AVE STE 214",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970088824",
            "telephone_number": "503-730-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-730-4754"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infinite Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.