PNW MEDICAL MASSAGE LLC
NPI 1093464810
Massage Therapist in Vancouver, WA

Active since March 20, 2022
400 E EVERGREEN BLVD STE 205B, VANCOUVER, WA 98660(360) 524-2779 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pnw Medical Massage Llc NPPES

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

PNW MEDICAL MASSAGE LLC (NPI 1093464810) is a healthcare organization registered as a massage therapist in Vancouver, Washington and active in the NPI registry since March 2022. The organization maintains a secondary practice location in Vancouver and lists Erin C Stafford, Member, as its authorized official.

NPPES Registry Identity

NPI1093464810
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NamePNW MEDICAL MASSAGE LLC
Location Address400 E EVERGREEN BLVD STE 205BVancouver, WA 98660-3385
Mailing Address709 Nw 120th StVancouver, WA 98685-2495
Organization SubpartNo
Authorized OfficialErin C StaffordMember · (940) 391-2155
Enumeration DateMarch 20, 2022
Last NPPES UpdateMay 14, 2026
NPPES CertifiedMay 14, 2026
NPI 1093464810 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
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.
400 E EVERGREEN BLVD STE 205B, Vancouver, WA 98660

Secondary Practice Location 1

Location 1709 NW 120th StVancouver, WA 98685-2495 · Phone (940) 391-2155

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

Other Providers at the Same Location NPPES

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

Massage Therapist
400 E EVERGREEN BLVD STE 205B
VANCOUVER, WA 98660

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 Pnw Medical Massage LLC's NPI number?

The NPI number for Pnw Medical Massage LLC is 1093464810. It was assigned to this organization in the NPPES registry on March 20, 2022.

Where is Pnw Medical Massage LLC located?

Pnw Medical Massage LLC is located at 400 E Evergreen Blvd Ste 205B, Vancouver, WA 98660. The listed phone number is (360) 524-2779.

What is Pnw Medical Massage LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Pnw Medical Massage LLC was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.