MISTY FALL LMT
NPI 1316460124
Massage Therapist in Portland, OR

Active since July 24, 2017
1016 SE 12TH AVE, PORTLAND, OR 97214(971) 303-9557 Get Directions Write a Review

NPPES record last updated: July 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Misty Fall Lmt NPPES

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

MISTY FALL LMT (NPI 1316460124) is an individual massage therapist in Portland, Oregon, licensed in Oregon (23135) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1316460124
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMISTY FALLCredential: LMT
Location Address1016 SE 12TH AVEPortland, OR 97214-2513
Mailing Address4912 Ne 32nd AvePortland, OR 97211-7024 · (503) 875-4897
Sole ProprietorNo
Enumeration DateJuly 24, 2017
NPI 1316460124 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 · 23135
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.
1016 SE 12TH AVE, Portland, OR 97214

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
1016 SE 12TH AVE
PORTLAND, OR 97214
Specialist
1016 SE 12TH AVE
PORTLAND, OR 97214
Massage Therapist
1016 SE 12TH AVE
PORTLAND, OR 97214
Social Worker (Clinical)
1016 SE 12TH AVE
PORTLAND, OR 97214
Acupuncturist
1016 SE 12TH AVE
PORTLAND, OR 97214
Midwife
1016 SE 12TH AVE
PORTLAND, OR 97214
Naturopath
1016 SE 12TH AVE
PORTLAND, OR 97214
Counselor (Professional)
1016 SE 12TH AVE
PORTLAND, OR 97214

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 Misty Fall's NPI number?

The NPI number for Misty Fall is 1316460124. It was assigned to this individual provider in the NPPES registry on July 24, 2017.

Where is Misty Fall located?

Misty Fall practices at 1016 SE 12th Ave, Portland, OR 97214. The listed phone number is (971) 303-9557.

What is Misty Fall's specialty?

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

What insurance does Misty Fall accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Misty Fall 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 Misty Fall was last updated on July 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.