Individual provider Active NPI

Adan Hun, LMT

  • Massage Therapist
  • Lake Oswego, OR
National Provider Identifier
1992159958
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
13696 Issued in OR
Practice address
16088 Boones Ferry Rd
Ste B
Lake Oswego, OR 97035-4370
Phone
(503) 376-6928
NPI assigned
Apr 15, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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 13696 OR Primary

Addresses

Primary practice location

16088 Boones Ferry Rd
Ste B
Lake Oswego, OR 97035-4370

Mailing address

3903 Santiam Pass Way NE
#207
Salem, OR 97305-6817
Phone (503) 510-8426

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
13696ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Zen Garden Massage & Spa Massage Therapist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1992159958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 SANTIAM PASS WAY NE",
            "address_2": "#207",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973056817",
            "telephone_number": "503-510-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16088 BOONES FERRY RD",
            "address_2": "STE B",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354370",
            "telephone_number": "503-376-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUN",
        "first_name": "ADAN",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "13696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.