Organization Active NPI

Kathleen Kline, LMT

  • Massage Therapist
  • Gresham, OR
National Provider Identifier
1992159610
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
22193 Issued in OR
Legal business name
KATHLEEN KLINE, LMT
Practice address
1217 NE Burnside Road Suite 701-D
Gresham, OR 97030
Phone
(503) 665-8959
Fax
(503) 667-3403
NPI assigned
Apr 19, 2016
Last updated
Apr 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Kathleen Susan Kline, LMT
Title
Owner
Phone
(503) 545-0438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 22193 OR Primary

Addresses

Primary practice location

1217 NE Burnside Road Suite 701-D
Gresham, OR 97030

Mailing address

12506 SE Lincoln CT
Portland, OR 97233
Phone (503) 545-0438

National Provider Directory

National Provider Directory

Locations

1217 NE Burnside Rd
Ste 701D
Gresham, OR 97030
Phone (503) 348-4797

Practitioners & affiliated clinicians

Practitioners 3

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": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1992159610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12506 SE LINCOLN CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97233",
            "telephone_number": "503-545-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 NE BURNSIDE ROAD SUITE 701-D",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "97030",
            "telephone_number": "503-665-8959",
            "fax_number": "503-667-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN KLINE, LMT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-545-0438",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "22193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.