EQUILIBRIA MASSAGE
NPI 1639422959
Massage Therapist in Portland, OR
- Organization
- Massage Therapist
About EQUILIBRIA MASSAGE
This page provides the complete NPI Profile along with additional information for Equilibria Massage, a provider established in Portland, Oregon operating as a Massage Therapist. The healthcare provider is registered in the NPI registry with number 1639422959 assigned on October 2012. The practitioner's primary taxonomy code is 225700000X with license number 16166 (OR). The provider is registered as an organization and their NPI record was last updated 14 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 Miss Kamila A Loupal Lmt (Owner)
- NPI
- 1639422959 Verify this NPI
- Provider Name
- EQUILIBRIA MASSAGE
- Entity Type
- Organization
- Location Address
- 1308 NW 20TH AVE STE 1 PORTLAND, OR 97209
- Location Phone
- (503) 221-2155
- Mailing Address
- 1308 NW 20TH AVE SUITE 1 PORTLAND, OR 97209
- Mailing Phone
- (503) 221-2155
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-24-2012
- Last Update Date
- 10-24-2012
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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
- License No.
- 16166
- License State
- OR
- 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.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639422959, enumerated as an "organization" on October 24, 2012.
The provider is located at 1308 NW 20TH AVE STE 1 PORTLAND, OR 97209 and the phone number is (503) 221-2155.
Massage Therapist with taxonomy code 225700000X.