- Practice location
- 123 NE 6TH Ave, Portland, OR 97232-2903
- Phone
- 503-961-4036
- Fax
- —
- Last updated
- April 18, 2016
Alissa K Kipp Lmt is a healthcare organization based in Portland, OR. Alissa K Kipp Lmt practices in Portland, OR. The NPI Number for Alissa K Kipp Lmt is 1992159875 and holds a License No. 18918 (OR). The current practice location address for Alissa K Kipp Lmt is 123 NE 6TH Ave, Portland, OR 97232-2903 and can be reached out via phone at 503-961-4036.
Provider Profile Details
- NPI Number
- 1992159875
- Provider Name
- Alissa K Kipp Lmt
- Provider Entity Type
- Organization
- Address
- 123 NE 6TH Ave, Portland, OR 97232-2903
- Phone Number
- 503-961-4036
- Primary Taxonomy
- Massage Therapist · 225700000X
- Organization Subpart
- No
- Authorized Official
- Alissa K Kipp, LMT · Owner · 503-961-4036
- Other Names
- Ilo Wellness (Doing Business As)
- Provider Enumeration Date
- April 18, 2016
- Last Update Date
- April 18, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 123 NE 6TH Ave
Portland, OR 97232-2903 - City
- Portland
- State
- Oregon
- Zip
- 97232-2903
- Phone Number
- 503-961-4036
Provider Business Mailing Address Details
- Address
- 123 NE 6TH Ave
Portland, OR 97232-2903 - City
- Portland
- State
- OR
- Zip
- 97232-2903
- Phone Number
- 503-961-4036
License Information
- License Number
- 18918
- 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 Alissa K Kipp Lmt?
The NPI number of Alissa K Kipp Lmt is 1992159875. It was assigned on April 18, 2016 and is currently active in the NPPES registry.
What is the specialty of Alissa K Kipp Lmt?
Alissa K Kipp Lmt is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in OR under license number 18918.
Where does Alissa K Kipp Lmt practice?
The practice location is 123 NE 6TH Ave, Portland, OR 97232-2903. The office can be reached at 503-961-4036 (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 1992159875 directly on the NPPES registry website.