Advance Injury Care And Movement Therapy LLC
Massage Therapist in Portland, Oregon
1386924934- Practice location
- 11507 SW Shilo Ln, Ste E, Portland, OR 97225-5923
- Phone
- 503-939-2524
- Fax
- 503-520-0514
- Last updated
- August 26, 2011
Advance Injury Care And Movement Therapy LLC is a healthcare organization based in Portland, OR. The NPI number for Advance Injury Care And Movement Therapy LLC is 1386924934 and holds license No. 9601 (OR). The current practice location address is 11507 SW Shilo Ln, Ste E, Portland, OR 97225-5923 and the office can be reached by phone at 503-939-2524 and by fax at 503-520-0514. The NPI was assigned on August 26, 2011 and the record was last updated in NPPES on August 26, 2011.
●Provider Profile Details
- NPI Number
- 1386924934
- Provider Name
- Advance Injury Care And Movement Therapy LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Massage Therapist · 225700000X
- Organization Subpart
- No
- Authorized Official
- Mr. Richard Walter Roskopf, LMT · Owner · 503-939-2524
- Enumeration Date
- August 26, 2011
- Last Update Date
- August 26, 2011
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 11507 SW Shilo Ln
Ste E
Portland, OR 97225-5923 - City
- Portland
- State
- Oregon
- ZIP
- 97225-5923
- Country
- US
- Phone Number
- 503-939-2524
- Fax Number
- 503-520-0514
✉Business Mailing Address
- Address
- 11507 SW Shilo Ln
Ste E
Portland, OR 97225-5923 - City
- Portland
- State
- OR
- ZIP
- 97225-5923
- Phone Number
- 503-939-2524
- Fax Number
- 503-520-0514
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Massage Therapist 193400000X - Single Specialty Group | 225700000X | Yes | 9601 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?Frequently Asked Questions
What is the NPI number of Advance Injury Care And Movement Therapy LLC?
The NPI number of Advance Injury Care And Movement Therapy LLC is 1386924934. It was assigned on August 26, 2011 and is currently active in the NPPES registry.
What is the specialty of Advance Injury Care And Movement Therapy LLC?
Advance Injury Care And Movement Therapy LLC is registered under the primary taxonomy Massage Therapist (code 225700000X) and holds license No. 9601 (OR).
Where does Advance Injury Care And Movement Therapy LLC practice?
The practice location is 11507 SW Shilo Ln, Ste E, Portland, OR 97225-5923. The office can be reached at 503-939-2524 (phone) or 503-520-0514 (fax).
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 1386924934 directly on the NPPES registry website at npiregistry.cms.hhs.gov.