DEEP GROUND MASSAGE & BODYWORK NPI 1033663620

NPI Information

  • NPI: 1033663620
  • Provider Name: DEEP GROUND MASSAGE & BODYWORK
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Organization
  • Address: 1725 SE HAWTHORNE BLVD
    PORTLAND, OR
    ZIP 97214
  • Phone: (503) 926-4045

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NPI Details

DEEP GROUND MASSAGE & BODYWORK 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. DEEP GROUND MASSAGE & BODYWORK NPI is 1033663620. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1725 SE HAWTHORNE BLVD
PORTLAND, OR
ZIP 97214-722
Phone: (503) 926-4045

The provider's authorized official is Stephanie Lavon Trotter .
The authorized official title is Owner and has the following contact phone number (503) 926-4045.

The enumeration date for this NPI number is 8/11/2016 and was last updated on 8/11/2016.

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
1225700000XMassage Therapist18138OREGONYes

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: 3/30/2025

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