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ELISA BROCKWAY LMT
NPI 1164040333
Massage Therapist in Lake Oswego, OR

Active since July 14, 2020
530 1ST ST STE B2, LAKE OSWEGO, OR 97034(971) 344-4223 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elisa Brockway Lmt NPPES

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

ELISA BROCKWAY LMT (NPI 1164040333) is an individual massage therapist in Lake Oswego, Oregon, licensed in Oregon (7964) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1164040333
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameELISA BROCKWAYCredential: LMT
Location Address530 1ST ST STE B2Lake Oswego, OR 97034-3248
Mailing Address1605 Ne 76th AvePortland, OR 97213-6747 · (971) 344-4223
Phone(971) 344-4223
Sole ProprietorYes
Enumeration DateJuly 14, 2020
NPPES CertifiedJuly 14, 2020
✔ NPI 1164040333 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 · 7964
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.
530 1ST ST STE B2, Lake Oswego, OR 97034
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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 Elisa Brockway's NPI number?

The NPI number for Elisa Brockway is 1164040333. It was assigned to this individual provider in the NPPES registry on July 14, 2020.

Where is Elisa Brockway located?

Elisa Brockway practices at 530 1st St Ste B2, Lake Oswego, OR 97034. The listed phone number is (971) 344-4223.

What is Elisa Brockway'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 Elisa Brockway was last updated on July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.