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BEAVERTON MEDICAL MASSAGE LLC
NPI 1033567516
Massage Therapist in Beaverton, OR

Active since May 25, 2016
3863 SW HALL BLVD STE B, BEAVERTON, OR 97005(503) 730-0884 Get Directions Write a Review

NPPES record last updated: May 25, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Beaverton Medical Massage Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAVERTON MEDICAL MASSAGE LLC (NPI 1033567516) is a healthcare organization registered as a massage therapist in Beaverton, Oregon and active in the NPI registry since May 2016. The organization lists Kc Davidson, Owner, as its authorized official.

NPPES Registry Identity

NPI1033567516
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameBEAVERTON MEDICAL MASSAGE LLC
Location Address3863 SW HALL BLVD STE BBeaverton, OR 97005-2042
Mailing Address3863 Sw Hall Blvd Ste BBeaverton, OR 97005-2042
Phone(503) 730-0884
Organization SubpartNo
Authorized OfficialKc DavidsonOwner · (503) 730-0884
Enumeration DateMay 25, 2016
✔ NPI 1033567516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in OR · 7107
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
3863 SW HALL BLVD STE B, Beaverton, OR 97005
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STONES THROW HEALING LLC
Respiratory Therapist, Certified
3863 SW HALL BLVD STE B
BEAVERTON, OR 97005
Washington County (503) 782-9769
WILD MOUNTAIN MEDICINE LLC
Acupuncturist
3863 SW HALL BLVD STE B
BEAVERTON, OR 97005
Washington County (541) 944-1989
WARRIOR WITHIN WELLNESS LLC
Massage Therapist
3863 SW HALL BLVD STE B
BEAVERTON, OR 97005
Washington County (503) 482-4499
MARY ANN MENDEZ
Massage Therapist
3863 SW HALL BLVD STE B
BEAVERTON, OR 97005
Washington County (206) 877-3663
AARON LEE BATES LMT
Massage Therapist
3863 SW HALL BLVD STE B
BEAVERTON, OR 97005
Washington County (503) 446-0698
DR. STEVEN THAMMASOUK LAC DACM
Acupuncturist
3863 SW HALL BLVD STE B
BEAVERTON, OR 97005
Washington County (503) 208-4638
MARY ANN MENDEZ LMT
Massage Therapist
3863 SW HALL BLVD STE B
BEAVERTON, OR 97005
Washington County (206) 877-3663
STILLNESS AND MOVEMENT LLC
Clinic/Center
3863 SW HALL BLVD STE B
BEAVERTON, OR 97005
Washington County (503) 208-4638

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beaverton Medical Massage LLC's NPI number?

The NPI number for Beaverton Medical Massage LLC is 1033567516. It was assigned to this organization in the NPPES registry on May 25, 2016.

Where is Beaverton Medical Massage LLC located?

Beaverton Medical Massage LLC is located at 3863 SW Hall Blvd Ste B, Beaverton, OR 97005. The listed phone number is (503) 730-0884.

What is Beaverton Medical Massage LLC's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

What insurance does Beaverton Medical Massage LLC accept?

Health plans from Regence BlueCross BlueShield of Oregon list Beaverton Medical Massage LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beaverton Medical Massage LLC was last updated on May 25, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.