ACTION DYNAMIX MASSAGE, LLC
NPI 1023568466
Preferred Provider Organization in Bend, OR

Active since October 10, 2016
701 NW ARIZONA AVE STE 200, BEND, OR 97703(541) 728-3911 Get Directions Write a Review

NPPES record last updated: October 10, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Preferred Provider Organization

About ACTION DYNAMIX MASSAGE, LLC

This page provides the complete NPI Profile along with additional information for Action Dynamix Massage, Llc, a provider established in Bend, Oregon operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1023568466 assigned on October 2016. The practitioner's primary taxonomy code is 305R00000X with license number 10629 (OR). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Ms. Amber Lee Clark (Owner)

NPI
1023568466 Verify this NPI
Provider Name
ACTION DYNAMIX MASSAGE, LLC
Entity Type
Organization
Location Address
701 NW ARIZONA AVE STE 200 BEND, OR 97703
Location Phone
(541) 728-3911
Mailing Address
701 NW ARIZONA AVE BEND, OR 97703
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-10-2016
Last Update Date
10-10-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
10629
License State
OR
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. AMBER LEE CLARK

Authorized Official Title
OWNER
Authorized Official Phone
(541) 678-4212

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023568466, enumerated as an "organization" on October 10, 2016.

The provider is located at 701 NW ARIZONA AVE STE 200 BEND, OR 97703 and the phone number is (541) 728-3911.

Preferred Provider Organization with taxonomy code 305R00000X.