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SPA WILLAMINA
NPI 1619278512
Massage Therapist in Portland, OR

Active since November 09, 2010
1928 NE 40TH AVE., PORTLAND, OR 97212(503) 287-2787 Get Directions Write a Review

NPPES record last updated: November 9, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Spa Willamina NPPES

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

SPA WILLAMINA (NPI 1619278512) is a healthcare organization registered as a massage therapist in Portland, Oregon and active in the NPI registry since November 2010. The organization lists Willow Light, Owner, as its authorized official.

NPPES Registry Identity

NPI1619278512
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameSPA WILLAMINA
Location Address1928 NE 40TH AVE.Portland, OR 97212
Mailing Address1928 Ne 40th Ave.Portland, OR 97212 · (503) 287-2787
Phone(503) 287-2787
Organization SubpartNo
Authorized OfficialWillow LightOwner · (503) 287-2787
Enumeration DateNovember 9, 2010
✔ NPI 1619278512 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
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.

1928 NE 40TH AVE., Portland, OR 97212
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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

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 Spa Willamina's NPI number?

The NPI number for Spa Willamina is 1619278512. It was assigned to this organization in the NPPES registry on November 9, 2010.

Where is Spa Willamina located?

Spa Willamina is located at 1928 NE 40th Ave., Portland, OR 97212. The listed phone number is (503) 287-2787.

What is Spa Willamina'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 Spa Willamina was last updated on November 9, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.