GARY LEROY WASS LMT NPI 1023221728

NPI Information

NPI: 1023221728
Provider Name: GARY LEROY WASS, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address: 2929 SW MULTNOMAH BLVD STE 207
PORTLAND, OR
ZIP 97219
Phone: (509) 240-6989

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NPI Details

Gary Leroy Wass, LMT is a massage therapist in Portland, 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. Gary Leroy Wass, LMT NPI is 1023221728. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2929 SW MULTNOMAH BLVD STE 207
PORTLAND, OR
ZIP 97219-072
Phone: (509) 240-6989

The enumeration date for this NPI number is 5/8/2007 and was last updated on 12/8/2014.

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		MA00016138	WASHINGTON	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	5633	OTHER	OREGON	OREGON STATE LISCENCE
2	MA00016138	OTHER	WASHINGTON	STATE LISCENCE NUMBER

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: 11/21/2025

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