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BLOOMING MOON WELLNESS SPA INC.
NPI 1144574096
Massage Therapist in Portland, OR

Active since October 30, 2012
1920 N KILLINGSWORTH ST, PORTLAND, OR 97217(971) 279-2757 Get Directions Write a Review

NPPES record last updated: October 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blooming Moon Wellness Spa Inc. NPPES

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

BLOOMING MOON WELLNESS SPA INC. (NPI 1144574096) is a healthcare organization registered as a massage therapist in Portland, Oregon and active in the NPI registry since October 2012. The organization lists Ginny L Tousignant, Owner And Esthetician, as its authorized official.

NPPES Registry Identity

NPI1144574096
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameBLOOMING MOON WELLNESS SPA INC.
Location Address1920 N KILLINGSWORTH STPortland, OR 97217-4437
Mailing Address1920 N Killingsworth StPortland, OR 97217-4437 · (971) 279-2757
Phone(971) 279-2757
Organization SubpartNo
Authorized OfficialGinny L TousignantOwner And Esthetician · (971) 279-2757
Enumeration DateOctober 30, 2012
✔ NPI 1144574096 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 · 69864495
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.
1920 N KILLINGSWORTH ST, Portland, OR 97217
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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

Other Providers at the Same Location NPPES 3

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

JEANETTE ANN SLAY LMT
Specialist
1920 N KILLINGSWORTH ST
PORTLAND, OR 97217
Multnomah County (971) 279-2757
MRS. KIMBERLY ELAINE HALE L.M.T.
Massage Therapist
1920 N KILLINGSWORTH ST
PORTLAND, OR 97217
Multnomah County (971) 279-2757
KAYLA NORWOOD LMT
Massage Therapist
1920 N KILLINGSWORTH ST
PORTLAND, OR 97217
Multnomah County (971) 279-2757

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 Blooming Moon Wellness Spa Inc.'s NPI number?

The NPI number for Blooming Moon Wellness Spa Inc. is 1144574096. It was assigned to this organization in the NPPES registry on October 30, 2012.

Where is Blooming Moon Wellness Spa Inc. located?

Blooming Moon Wellness Spa Inc. is located at 1920 N Killingsworth St, Portland, OR 97217. The listed phone number is (971) 279-2757.

What is Blooming Moon Wellness Spa Inc.'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 Blooming Moon Wellness Spa Inc. was last updated on October 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.