AUSA PEACOCK LMT
NPI 1720331366
Massage Therapist in Portland, OR

Q: What is Ausa Peacock's NPI number?

The NPI number for Ausa Peacock is 1720331366. It was assigned to this individual provider in the NPPES registry on October 19, 2012.

Q: What is Ausa Peacock'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 Ausa Peacock was last updated on October 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 October 19, 2012

833 SE MAIN ST # 423, PORTLAND, OR 97214(503) 583-2872 Get Directions Write a Review

NPPES record last updated: October 19, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Ausa Peacock Lmt NPPES

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

AUSA PEACOCK LMT (NPI 1720331366) is an individual massage therapist in Portland, Oregon, licensed in Oregon (15125) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1720331366

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameAUSA PEACOCKCredential: LMT

Location Address833 SE MAIN ST # 423Portland, OR 97214-3454

Mailing Address6326 Ne 25th AvePortland, OR 97211-6044 · (503) 583-2872

Phone(503) 583-2872

Sole ProprietorYes

Enumeration DateOctober 19, 2012

✔ NPI 1720331366 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 · 15125

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.

833 SE MAIN ST # 423, Portland, OR 97214

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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 Ausa Peacock's NPI number?

The NPI number for Ausa Peacock is 1720331366. It was assigned to this individual provider in the NPPES registry on October 19, 2012.

Where is Ausa Peacock located?

Ausa Peacock practices at 833 SE Main St # 423, Portland, OR 97214. The listed phone number is (503) 583-2872.

What is Ausa Peacock'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 Ausa Peacock was last updated on October 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.