MIND BODY SPIRIT LLC NPI 1538477013

NPI Information

  • NPI: 1538477013
  • Provider Name: MIND BODY SPIRIT LLC
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Organization
  • Doing Business As: MIND BODY SPIRIT - A HOLISTIC COMMUNITY
  • Address: 2705 E BURNSIDE ST STE 104
    PORTLAND, OR
    ZIP 97214
  • Phone: (503) 893-4022

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NPI Details

MIND BODY SPIRIT LLC 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. MIND BODY SPIRIT LLC NPI is 1538477013. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Mind Body Spirit - A Holistic Community.

The provider's business location address is:

2705 E BURNSIDE ST STE 104
PORTLAND, OR
ZIP 97214-767
Phone: (503) 893-4022

The provider's authorized official is Jon E Dare .
The authorized official title is Owner and has the following contact phone number (503) 893-4022.

The enumeration date for this NPI number is 9/19/2010 and was last updated on 4/21/2014.

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
1225700000XMassage TherapistMA60040619WASHINGTONNo
2225700000XMassage Therapist17071OREGONYes

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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