VICKY BROOKS LLC NPI 1790036713

NPI Information

  • NPI: 1790036713
  • Provider Name: VICKY BROOKS LLC
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Organization
  • Address: 4876 NW BETHANY BLVD
    L-1
    PORTLAND, OR
    ZIP 97229
  • Phone: (847) 721-7579

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NPI Details

VICKY BROOKS 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. VICKY BROOKS LLC NPI is 1790036713. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4876 NW BETHANY BLVD
L-1
PORTLAND, OR
ZIP 97229-259
Phone: (847) 721-7579

The provider's authorized official is Vicky Brooks .
The authorized official title is Massage Therapist and has the following contact phone number (847) 721-7579.

The enumeration date for this NPI number is 10/1/2012 and was last updated on 7/24/2014.

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 Therapist17835OREGONYes

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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