- Practice location
- 3863 SW Hall Blvd Ste B, Beaverton, OR 97005-2042
- Phone
- 503-730-0884
- Fax
- —
- Last updated
- May 25, 2016
Beaverton Medical Massage LLC is a healthcare organization based in Beaverton, OR. Beaverton Medical Massage LLC practices in Beaverton, OR. The NPI Number for Beaverton Medical Massage LLC is 1033567516 and holds a License No. 7107 (OR). The current practice location address for Beaverton Medical Massage LLC is 3863 SW Hall Blvd Ste B, Beaverton, OR 97005-2042 and can be reached out via phone at 503-730-0884.
Provider Profile Details
- NPI Number
- 1033567516
- Provider Name
- Beaverton Medical Massage LLC
- Provider Entity Type
- Organization
- Address
- 3863 SW Hall Blvd Ste B, Beaverton, OR 97005-2042
- Phone Number
- 503-730-0884
- Primary Taxonomy
- Massage Therapist · 225700000X
- Organization Subpart
- No
- Authorized Official
- Kc Davidson, LMT · Owner · 503-730-0884
- Provider Enumeration Date
- May 25, 2016
- Last Update Date
- May 25, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3863 SW Hall Blvd Ste B
Beaverton, OR 97005-2042 - City
- Beaverton
- State
- Oregon
- Zip
- 97005-2042
- Phone Number
- 503-730-0884
Provider Business Mailing Address Details
- Address
- 3863 SW Hall Blvd Ste B
Beaverton, OR 97005-2042 - City
- Beaverton
- State
- OR
- Zip
- 97005-2042
License Information
- License Number
- 7107
- License State
- OR
- Taxonomy
- Massage Therapist · 225700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Beaverton Medical Massage LLC?
The NPI number of Beaverton Medical Massage LLC is 1033567516. It was assigned on May 25, 2016 and is currently active in the NPPES registry.
What is the specialty of Beaverton Medical Massage LLC?
Beaverton Medical Massage LLC is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in OR under license number 7107.
Where does Beaverton Medical Massage LLC practice?
The practice location is 3863 SW Hall Blvd Ste B, Beaverton, OR 97005-2042. The office can be reached at 503-730-0884 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033567516 directly on the NPPES registry website.