AMANDA K VAN PELT NPI 1932808359

NPI Information

  • NPI: 1932808359
  • Provider Name: AMANDA K VAN PELT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 307 NE KELLY AVE
    GRESHAM, OR
    ZIP 97030
  • Phone: (971) 678-3178

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NPI Details

Amanda K Van Pelt is a massage therapist in Gresham, 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. Amanda K Van Pelt NPI is 1932808359. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

307 NE KELLY AVE
GRESHAM, OR
ZIP 97030-455
Phone: (971) 678-3178

The enumeration date for this NPI number is 2/24/2023 and was last updated on 2/24/2023.

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 Therapist61298OREGONYes

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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