LAVENDER MOON WELLNESS LLC
NPI 1619717170
Massage Therapist in Portland, OR

Active since May 30, 2024
2933 NE BROADWAY ST, PORTLAND, OR 97232(503) 960-3366 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Massage Therapist
  • Accepts Insurance

About LAVENDER MOON WELLNESS LLC

This page provides the complete NPI Profile along with additional information for Lavender Moon Wellness Llc, a provider established in Portland, Oregon operating as a Massage Therapist. The healthcare provider is registered in the NPI registry with number 1619717170 assigned on May 2024. The practitioner's primary taxonomy code is 225700000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Samantha M Paquette Lmt (Owner)

NPI
1619717170 Verify this NPI
Provider Name
LAVENDER MOON WELLNESS LLC
Entity Type
Organization
Location Address
2933 NE BROADWAY ST PORTLAND, OR 97232
Location Phone
(503) 960-3366
Mailing Address
2933 NE BROADWAY ST PORTLAND, OR 97232
Mailing Phone
(503) 960-3366
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-30-2024
Last Update Date
05-30-2024
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Massage Therapist

Taxonomy Code
225700000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Bronze 8000 Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
  • Bronze HSA 7000 Individual Connect - EPO
  • Gold 2300 Individual Connect - EPO
  • Regence Standard Bronze Plan Individual Connect - EPO
  • Regence Standard Gold Plan Individual Connect - EPO
  • Regence Standard Silver Plan Individual Connect - EPO
  • Silver 6500 Individual Connect - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SAMANTHA M PAQUETTE LMT

Authorized Official Title
OWNER
Authorized Official Phone
(503) 960-3366

Reviews for LAVENDER MOON WELLNESS LLC

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Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Acupuncturist
2933 NE BROADWAY ST
PORTLAND, OR 97232
Acupuncturist
2933 NE BROADWAY ST
PORTLAND, OR 97232
Massage Therapist
2933 NE BROADWAY ST
PORTLAND, OR 97232
Massage Therapist
2933 NE BROADWAY ST
PORTLAND, OR 97232
Massage Therapist
2933 NE BROADWAY ST
PORTLAND, OR 97232
Massage Therapist
2933 NE BROADWAY ST
PORTLAND, OR 97232
Massage Therapist
2933 NE BROADWAY ST
PORTLAND, OR 97232
Massage Therapist
2933 NE BROADWAY ST
PORTLAND, OR 97232
Massage Therapist
2933 NE BROADWAY ST
PORTLAND, OR 97232
Massage Therapist
2933 NE BROADWAY ST
PORTLAND, OR 97232
Massage Therapist
2933 NE BROADWAY ST
PORTLAND, OR 97232
Massage Therapist
2933 NE BROADWAY ST
PORTLAND, OR 97232

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619717170, enumerated as an "organization" on May 30, 2024.

The provider is located at 2933 NE BROADWAY ST PORTLAND, OR 97232 and the phone number is (503) 960-3366.

Massage Therapist with taxonomy code 225700000X.

The provider might be accepting Accepts: BridgeSpan Health Company and Regence BlueCross. Please consult your insurance carrier or call the provider to verify.