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CERES AND LUNA HOLISTIC SPA LLC
NPI 1295597516
Massage Therapist in Portland, OR

Active since January 24, 2024
3821 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212(503) 289-1390 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ceres And Luna Holistic Spa Llc NPPES

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

CERES AND LUNA HOLISTIC SPA LLC (NPI 1295597516) is a healthcare organization registered as a massage therapist in Portland, Oregon and active in the NPI registry since January 2024. The organization lists Janelle Evette Grizzard, Owner, as its authorized official.

NPPES Registry Identity

NPI1295597516
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameCERES AND LUNA HOLISTIC SPA LLC
Location Address3821 NE MARTIN LUTHER KING JR BLVDPortland, OR 97212-1114
Mailing Address3821 Ne Martin Luther King Jr BlvdPortland, OR 97212-1114 · (503) 289-1390
Phone(503) 289-1390
Organization SubpartNo
Authorized OfficialJanelle Evette GrizzardOwner · (480) 586-7859
Enumeration DateJanuary 24, 2024
NPPES CertifiedJanuary 24, 2024
✔ NPI 1295597516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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.
Also ListedChiropractorTaxonomy 111N00000X
Also ListedAcupuncturistTaxonomy 171100000X
Also ListedIntegrative MedicineTaxonomy 202D00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
3821 NE MARTIN LUTHER KING JR BLVD, Portland, OR 97212
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Other Names 1

Doing Business AsCeres And Luna Holistic Spa Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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.

CHELSEA A BREAUX
Massage Therapist
3821 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 289-1390
TAYLOR NICOLE GUNDERMAN LMT
Massage Therapist
3821 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 289-1390
SASHA MELENDEZ
Acupuncturist
3821 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 701-0367

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 Ceres And Luna Holistic Spa LLC's NPI number?

The NPI number for Ceres And Luna Holistic Spa LLC is 1295597516. It was assigned to this organization in the NPPES registry on January 24, 2024.

Where is Ceres And Luna Holistic Spa LLC located?

Ceres And Luna Holistic Spa LLC is located at 3821 NE Martin Luther King Jr Blvd, Portland, OR 97212. The listed phone number is (503) 289-1390.

What is Ceres And Luna Holistic Spa LLC's specialty?

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

What insurance does Ceres And Luna Holistic Spa LLC accept?

Health plans from Moda Health Plan, Inc. list Ceres And Luna Holistic Spa LLC 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 Ceres And Luna Holistic Spa LLC was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.