MISS SHASTA HOPE-GREEN NPI 1134685878

NPI Information

NPI: 1134685878
Provider Name: MISS SHASTA HOPE-GREEN
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
150 NE BEND RIVER MALL AVE STE 300
BEND, OR
ZIP 97703
Phone: (503) 502-7837
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MISS Shasta Hope-green is a massage therapist in Bend, OR. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. MISS Shasta Hope-green NPI is 1134685878. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

150 NE BEND RIVER MALL AVE STE 300
BEND, OR
ZIP 97703-553
Phone: (503) 502-7837

The enumeration date for this NPI number is 2/19/2019 and was last updated on 2/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	023166	OTHER	OREGON	OREGON STATE BOARD ISSUED LICENSE FOR MASSAGE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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