Inner Balance Massage

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

13029 Issued in OR

Legal business name

INNER BALANCE MASSAGE

Practice address

15895 SW 72ND Ave
Portland, OR 97224-7977

Phone

(503) 939-8304

NPI assigned

Feb 18, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Chasity S Snedicor, LMT

Title

Owner

Phone

(503) 939-8304

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1982096517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15895 SW 72ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247977",
            "telephone_number": "503-939-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15895 SW 72ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247977",
            "telephone_number": "503-939-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER BALANCE MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "SNEDICOR",
        "authorized_official_first_name": "CHASITY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-939-8304",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OR",
            "license": "13029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Portland, OR
• Providers in Portland, OR by specialty
• Health Maintenance Organization in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.