LAKE OSWEGO MASSAGE THERAPY (NPI# 1801329008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801329008 |
| Entity Type | Organization |
| Organization Name | LAKE OSWEGO MASSAGE THERAPY |
| Practice Address |
15110 Boones Ferry Rd #220 Lake Oswego OR 97035-3468 |
| Practice Telephone | 5038504810 |
| Mailing Telephone | 5038504810 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | KIRSTEN MERRILL (OWNER) |
| Authorized Official Telephone | 5038504810 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | LAKE OSWEGO MASSAGE THERAPY LLC | 15110 Boones Ferry Rd Ste 220, Lake Oswego, OR 97035 |
| Street Address |
15110 BOONES FERRY RD #220 |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035-3468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457305864 | Tanya Elizabeth Hudson | Naturopath | 15110 Boones Ferry Rd, 380, Lake Oswego, OR 97035-3468 | 2006-05-20 |
| 1487131058 | Rebecca Ann Snuggs | Massage Therapist | 15110 Boones Ferry Rd, Lake Oswego, OR 97035-3468 | 2018-07-25 |
| 1447750898 | Jennifer L Nieves | Massage Therapist | 15110 Boones Ferry Rd, Lake Oswego, OR 97035-3468 | 2018-02-12 |
| 1780190512 | Hanna Maria Thompson | Massage Therapist | 15110 Boones Ferry Rd, Lake Oswego, OR 97035-3468 | 2017-12-15 |
| 1649791534 | Corinne Cristina Lazo | Massage Therapist | 15110 Boones Ferry Rd, Lake Oswego, OR 97035-3468 | 2017-06-29 |
| 1487065017 | Lacey Simone | Massage Therapist | 15110 Boones Ferry Rd, Suite 100-c, Lake Oswego, OR 97035-3468 | 2014-05-16 |
| 1942622402 | Valentyna Dinwiddie | Massage Therapist | 15110 Boones Ferry Rd, 100-c, Lake Oswego, OR 97035-3468 | 2014-01-16 |
| 1629490891 | Jessica M Evans | Naturopath | 15110 Boones Ferry Rd, Ste 380, Lake Oswego, OR 97035-3468 | 2014-01-07 |
| 1437582780 | Tabitha Renee Thurston | Massage Therapist | 15110 Boones Ferry Rd, Suite 100-c, Lake Oswego, OR 97035-3468 | 2013-08-09 |
| 1396177895 | Serenity Celestia Ackley | Massage Therapist | 15110 Boones Ferry Rd, Suite 100c, Lake Oswego, OR 97035-3468 | 2013-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
| 1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
| 1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
| 1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
| 1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
| Find all providers in zip 97035 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164040333 | Elisa Brockway | Massage Therapist | 530 1st St Ste B2, Lake Oswego, OR 97034-3248 | 2020-07-14 |
| 1437795549 | Yan Li | Massage Therapist | 16624 Roosevelt Ave, Lake Oswego, OR 97035-4046 | 2019-11-24 |
| 1972157931 | Xiaoyue O Chin | Massage Therapist | 459 2nd St, Lake Oswego, OR 97034-3126 | 2019-07-29 |
| 1437718764 | Richard C Irvine Jr. | Massage Therapist | 3 Monroe Pkwy Ste 100u, Lake Oswego, OR 97035-1486 | 2019-06-11 |
| 1295214609 | Valencia Arciniega | Massage Therapist | 311 B Ave Ste W, Lake Oswego, OR 97034-3071 | 2018-08-08 |
| 1063914299 | Jessica Gaisford | Massage Therapist | 4 Monroe Pkwy Ste J, Lake Oswego, OR 97035-1406 | 2018-03-03 |
| 1457851149 | Daniel Kler | Massage Therapist | 15110 Boones Ferry Rd Ste 100c, Lake Oswego, OR 97035-3452 | 2018-02-19 |
| 1295243350 | Jenney Lanae Seale | Massage Therapist | 15110 Boones Ferry Rd Ste 100, Lake Oswego, OR 97035-3468 | 2018-01-11 |
| 1679082622 | Callie Albertus | Massage Therapist | 16679 Boones Ferry Rd Ste 105, Lake Oswego, OR 97035-4378 | 2017-09-21 |
| 1114436250 | David Holloway | Massage Therapist | 17777 Lower Boones Ferry Rd, Lake Oswego, OR 97035-5398 | 2017-09-20 |
| Find all providers in LAKE OSWEGO | ||||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
Please comment or provide details below to improve the information on LAKE OSWEGO MASSAGE THERAPY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.