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SOULLY AWARE
NPI 1780448878
Massage Therapist in Gresham, OR

Active since February 08, 2024
1733 E POWELL BLVD STE 102, GRESHAM, OR 97030(503) 740-6343(503) 974-3744 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 15, 2024, Feb 8, 2024 (2 updates tracked since 2024).

About Soully Aware NPPES

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

SOULLY AWARE (NPI 1780448878) is a healthcare organization registered as a massage therapist in Gresham, Oregon and active in the NPI registry since February 2024. The organization maintains 3 additional practice locations and lists Danielle Tkacik, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780448878
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameSOULLY AWARE LLC
Location Address1733 E POWELL BLVD STE 102Gresham, OR 97030-8013
Mailing Address1733 E Powell Blvd Ste 102Gresham, OR 97030-8013 · (503) 740-6343 · Fax (503) 974-3744
Phone(503) 740-6343
Fax(503) 974-3744
Organization SubpartNo
Authorized OfficialDanielle TkacikCeo · (503) 740-6343
Enumeration DateFebruary 8, 2024
Last NPPES UpdateMay 15, 20242 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
✔ NPI 1780448878 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
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.
1733 E POWELL BLVD STE 102, Gresham, OR 97030
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Other Names 1

Doing Business AsSoully Aware

Secondary Practice Locations 3

Location 11722 NW Raleigh St Ste 417Portland, OR 97209-1753 · Phone (503) 740-6343 · Fax (503) 974-3744
Location 21110 NE Wood Village Blvd Ste 23Wood Village, OR 97060-2668 · Phone (503) 740-6343 · Fax (503) 974-3744
Location 3335 S Broadway StEstacada, OR 97023 · Phone (503) 740-6343 · Fax (503) 974-3744

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 3

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

AMELIA ROSE ZUBRINICH
Massage Therapist
1733 E POWELL BLVD STE 102
GRESHAM, OR 97030
Multnomah County (503) 740-6343
CHRISTINE NICHOLAS-JENANI
Massage Therapist
1733 E POWELL BLVD STE 102
GRESHAM, OR 97030
Multnomah County (503) 740-6343
DANIELLE LEE TKACIK LMT
Massage Therapist
1733 E POWELL BLVD STE 102
GRESHAM, OR 97030
Multnomah County (503) 740-6343

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 Soully Aware LLC's NPI number?

The NPI number for Soully Aware LLC is 1780448878. It was assigned to this organization in the NPPES registry on February 8, 2024. The provider is doing business as Soully Aware.

Where is Soully Aware LLC located?

Soully Aware LLC is located at 1733 E Powell Blvd Ste 102, Gresham, OR 97030. The listed phone number is (503) 740-6343.

What is Soully Aware LLC's specialty?

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

What insurance does Soully Aware LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Soully Aware LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Soully Aware LLC was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.