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INTEGRATIVE MEDICAL MASSAGE LLC NPI 1801454772


NPI Information

NPI: 1801454772
Provider Name: INTEGRATIVE MEDICAL MASSAGE LLC
Classification: Massage Therapist - 225700000X
Entity Type: Organization

CLIA Number: 38D2240148

Address:
3800 SW CEDAR HILLS BLVD STE 229
BEAVERTON, OR
ZIP 97005
Phone: (503) 913-8112
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INTEGRATIVE MEDICAL MASSAGE LLC is a massage therapist in Beaverton, 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. INTEGRATIVE MEDICAL MASSAGE LLC NPI is 1801454772. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3800 SW CEDAR HILLS BLVD STE 229
BEAVERTON, OR
ZIP 97005-761
Phone: (503) 913-8112

The provider's authorized official is Aaron Lee Bates .
The authorized official title is Owner/manager and has the following contact phone number (503) 913-8112.

The CLIA number assigned to this NPI record is 38D2240148 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/5/2019 and was last updated on 6/5/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage TherapistYes

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

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