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LAKE GROVE WELLNESS
NPI 1053723536
Massage Therapist in Lake Oswego, OR

Active since June 02, 2014
16320 BRYANT RD, LAKE OSWEGO, OR 97035(503) 908-1180 Get Directions Write a Review

NPPES record last updated: June 2, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Grove Wellness NPPES

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

LAKE GROVE WELLNESS (NPI 1053723536) is a healthcare organization registered as a massage therapist in Lake Oswego, Oregon and active in the NPI registry since June 2014. The organization lists Kathleeen Jordan, Owner, as its authorized official.

NPPES Registry Identity

NPI1053723536
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameLAKE GROVE WELLNESS
Location Address16320 BRYANT RDLake Oswego, OR 97035-4308
Mailing Address16320 Bryant RdLake Oswego, OR 97035-4308 · (503) 908-1180
Phone(503) 908-1180
Organization SubpartNo
Authorized OfficialKathleeen JordanOwner · (503) 908-1180
Enumeration DateJune 2, 2014
✔ NPI 1053723536 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 · 6748
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.
16320 BRYANT RD, Lake Oswego, OR 97035
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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 Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 2

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

KATHLEEN JORDAN LMT
Massage Therapist
16320 BRYANT RD
LAKE OSWEGO, OR 97035
Clackamas County (503) 908-1180
KELLY MEGAN BUTTERFIELD
Massage Therapist
16320 BRYANT RD
LAKE OSWEGO, OR 97035
Clackamas County (503) 908-1180

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 Lake Grove Wellness's NPI number?

The NPI number for Lake Grove Wellness is 1053723536. It was assigned to this organization in the NPPES registry on June 2, 2014.

Where is Lake Grove Wellness located?

Lake Grove Wellness is located at 16320 Bryant Rd, Lake Oswego, OR 97035. The listed phone number is (503) 908-1180.

What is Lake Grove Wellness's specialty?

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

What insurance does Lake Grove Wellness accept?

Health plans from Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Lake Grove Wellness 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 Lake Grove Wellness was last updated on June 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.