EYEM
NPI 1629490388
Massage Therapist in Portland, OR

Q: What is Revivanation LLC's NPI number?

The NPI number for Revivanation LLC is 1629490388. It was assigned to this organization in the NPPES registry on January 15, 2014. The provider is doing business as Eyem.

Q: What is Revivanation LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Revivanation LLC was last updated on January 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since January 15, 2014

914 SW 11TH AVE, PORTLAND, OR 97205(503) 765-5333(888) 495-4549 Get Directions Write a Review

NPPES record last updated: January 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Eyem NPPES

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

EYEM (NPI 1629490388) is a healthcare organization registered as a massage therapist in Portland, Oregon and active in the NPI registry since January 2014. The organization lists Steven M Burbank, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1629490388

Entity TypeOrganization

Primary Taxonomy225700000X

Legal Business NameREVIVANATION LLC

Location Address914 SW 11TH AVEPortland, OR 97205-2001

Mailing Address914 Sw 11th AvePortland, OR 97205-2001 · (503) 765-5333 · Fax (888) 495-4549

Phone(503) 765-5333

Fax(888) 495-4549

Organization SubpartNo

Authorized OfficialSteven M BurbankOwner/therapist · (503) 765-5333

Enumeration DateJanuary 15, 2014

✔ NPI 1629490388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

Licenses✔ Licensed in OR · 17523✔ Licensed in OR · 13830

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 ListedAcupuncturistTaxonomy 171100000X · License AC01286 (OR)

914 SW 11TH AVE, Portland, OR 97205

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Other Names 1

Doing Business AsEyem

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

RUBY SAMANTHA HABER LAC

Acupuncturist