- 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. The NPI number for Alissa K Kipp Lmt is 1992159875 and holds license No. 18918 (OR). The current practice location address is 123 NE 6TH Ave, Portland, OR 97232-2903 and the office can be reached by phone at 503-961-4036. The NPI was assigned on April 18, 2016 and the record was last updated in NPPES on April 18, 2016.
●Provider Profile Details
- NPI Number
- 1992159875
- Provider Name
- Alissa K Kipp Lmt
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Massage Therapist · 225700000X
- Organization Subpart
- No
- Authorized Official
- Alissa K Kipp, LMT · Owner · 503-961-4036
- Enumeration Date
- April 18, 2016
- Last Update Date
- April 18, 2016
- NPI Status
- Active
- Other Names
- Ilo Wellness (Doing Business As)
◉Business Practice Location Address
- Address
- 123 NE 6TH Ave
Portland, OR 97232-2903 - City
- Portland
- State
- Oregon
- ZIP
- 97232-2903
- Country
- US
- Phone Number
- 503-961-4036
✉Business Mailing Address
- Address
- 123 NE 6TH Ave
Portland, OR 97232-2903 - City
- Portland
- State
- OR
- ZIP
- 97232-2903
- Phone Number
- 503-961-4036
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Massage Therapist 193400000X - Single Specialty Group | 225700000X | Yes | 18918 | 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 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) and holds license No. 18918 (OR).
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 at npiregistry.cms.hhs.gov.