Active NPIIndividual provider

Summer D Adhara, LMT, CA, CMT

Massage Therapist in Portland, Oregon

NPI Number1407486624
Practice location
511 SW 10TH Ave Ste 1001, Portland, OR 97205-2711
Fax
—
Last updated
January 16, 2020

Summer D Adhara, LMT, CA, CMT is a Massage Therapist based in Portland, OR. Summer D Adhara, LMT, CA, CMT holds the professional credentials of LMT, CA, CMT. The NPI number for Summer D Adhara, LMT, CA, CMT is 1407486624 and holds license No. 17494 (OR). The current practice location address is 511 SW 10TH Ave Ste 1001, Portland, OR 97205-2711 and the office can be reached by phone at 503-756-2743. The NPI was assigned on January 16, 2020 and the record was last updated in NPPES on January 16, 2020.

●Provider Profile Details

NPI Number
1407486624
Provider Name
Summer Dawn Adhara
Credential
LMT, CA, CMT
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
No
Enumeration Date
January 16, 2020
Last Update Date
January 16, 2020
Certification Date
January 16, 2020
NPI Status
Active

◉Business Practice Location Address

Address
511 SW 10TH Ave Ste 1001
Portland, OR 97205-2711
State
Oregon
ZIP
97205-2711
Country
US
Phone Number
503-756-2743

Get directions →

✉Business Mailing Address

Address
511 SW 10TH Ave Ste 1001
Portland, OR 97205-2711
City
Portland
State
OR
ZIP
97205-2711
Phone Number
503-756-2743

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Massage Therapist225700000XYes17494OR

#Other Provider Identifiers

No legacy or other 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 Summer D Adhara, LMT, CA, CMT?

The NPI number of Summer D Adhara, LMT, CA, CMT is 1407486624. It was assigned on January 16, 2020 and is currently active in the NPPES registry.

What is the specialty of Summer D Adhara, LMT, CA, CMT?

Summer D Adhara, LMT, CA, CMT is registered under the primary taxonomy Massage Therapist (code 225700000X) and holds license No. 17494 (OR).

Where does Summer D Adhara, LMT, CA, CMT practice?

The practice location is 511 SW 10TH Ave Ste 1001, Portland, OR 97205-2711. The office can be reached at 503-756-2743 (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 1407486624 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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