THE GOLDEN ROOM LLC
NPI 1205172913
Specialist in Portland, OR

Q: What is The Golden Room LLC's NPI number?

The NPI number for The Golden Room LLC is 1205172913. It was assigned to this organization in the NPPES registry on December 27, 2012.

Q: What is The Golden Room LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since December 27, 2012

636 SE 49TH AVE, PORTLAND, OR 97215(971) 506-4560 Get Directions Write a Review

NPPES record last updated: December 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About The Golden Room Llc NPPES

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

THE GOLDEN ROOM LLC (NPI 1205172913) is a healthcare organization registered as a specialist in Portland, Oregon and active in the NPI registry since December 2012. The organization lists Mauri Mckitrick, Owner/lmt, as its authorized official.

NPPES Registry Identity

NPI1205172913

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameTHE GOLDEN ROOM LLC

Location Address636 SE 49TH AVEPortland, OR 97215-1728

Mailing Address4360 Ne Simpson StPortland, OR 97218-1444 · (971) 506-4560

Phone(971) 506-4560

Organization SubpartNo

Authorized OfficialMauri MckitrickOwner/lmt · (971) 506-4560

Enumeration DateDecember 27, 2012

✔ NPI 1205172913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in OR · 8161

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

636 SE 49TH AVE, Portland, OR 97215

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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 2

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

JILL KATHRYN BISHOP L.M.T.

Massage Therapist

636 SE 49TH AVE
PORTLAND, OR 97215

Multnomah County (503) 473-6402

MRS. OLIVIA M. KELLAR LAC, MACOM, LMT

Acupuncturist

636 SE 49TH AVE
PORTLAND, OR 97215

Multnomah County (971) 506-4560

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 The Golden Room LLC's NPI number?

The NPI number for The Golden Room LLC is 1205172913. It was assigned to this organization in the NPPES registry on December 27, 2012.

Where is The Golden Room LLC located?

The Golden Room LLC is located at 636 SE 49th Ave, Portland, OR 97215. The listed phone number is (971) 506-4560.

What is The Golden Room LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for The Golden Room LLC was last updated on December 27, 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.