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ELLYN SUE VANDENBERG LMT
NPI 1699631374
Massage Therapist in Bend, OR

Active since December 26, 2025

NPPES record last updated: December 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellyn Sue Vandenberg Lmt NPPES

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

ELLYN SUE VANDENBERG LMT (NPI 1699631374) is an individual massage therapist in Bend, Oregon, licensed in Oregon (5129) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1699631374
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameELLYN SUE VANDENBERGCredential: LMT
Location Address2955 N HWY 97Bend, OR 97703-7559
Mailing Address63987 Sunset DrBend, OR 97703-8590 · (541) 280-5045
Phone(541) 728-3004
Sole ProprietorYes
Enumeration DateDecember 26, 2025
NPPES CertifiedDecember 26, 2025
✔ NPI 1699631374 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 · 5129
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.
2955 N HWY 97, Bend, OR 97703
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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.

CENTERED THERAPY LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2955 N HWY 97
BEND, OR 97703
Deschutes County (541) 408-1850
SHONNA ERIN EDWARDS
Counselor (Mental Health)
2955 N HWY 97
BEND, OR 97703
Deschutes County (541) 203-0474
SUMMER ROUSSELLE LPC-A
Counselor (Professional)
2955 N HWY 97
BEND, OR 97703
Deschutes County (541) 205-9290
JANAYE ARIELLE MONET CSWA
Social Worker (Clinical)
2955 N HWY 97
BEND, OR 97703
Deschutes County (541) 205-9290
KELSEY ELIZABETH DAVIS
Counselor (Professional)
2955 N HWY 97
BEND, OR 97703
Deschutes County (541) 203-0474
DANIELLE RENEE COUTURE LPC
Counselor (Mental Health)
2955 N HWY 97
BEND, OR 97703
Deschutes County (541) 668-7544
AMY FORCONI-BEACH LPC
Counselor (Professional)
2955 N HWY 97
BEND, OR 97703
Deschutes County (541) 205-9290
MS. VICTORIA YOUNG
Counselor (Professional)
2955 N HWY 97
BEND, OR 97703
Deschutes County (541) 668-7544

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 Ellyn Vandenberg's NPI number?

The NPI number for Ellyn Vandenberg is 1699631374. It was assigned to this individual provider in the NPPES registry on December 26, 2025.

Where is Ellyn Vandenberg located?

Ellyn Vandenberg practices at 2955 N Hwy 97, Bend, OR 97703. The listed phone number is (541) 728-3004.

What is Ellyn Vandenberg'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 Ellyn Vandenberg was last updated on December 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.