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Active NPI 1174139588 Individual Practitioner Male Practitioner

Moon Marcelle Bukas , LMT

Massage Therapist • Bend, OR

Professional Overview & Biography Verified Profile Summary

Moon Bukas, LMT is a registered healthcare professional specializing in Massage Therapist in Bend, OR. Practice services are available at 501 NE GREEN WOOD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

501 Ne Green Wood Ave
300

Bend, OR 97701

Telephone 5417060961

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
363 Specialists

Practicing in Bend, OR (6180 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-09-21
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License OR 023245

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location February 22, 2024

Registered at 501 NE GREEN WOOD AVE, 300, BEND, OR 97701 (Tel: 5417060961)

📍
Updated Business Mailing Address February 22, 2024

Registered at 501 NE GREENWOOD AVE #300, BEND, OR 97701 (Tel: 5417060961)

👤
Provider Name / Credentials Updated February 22, 2024

Recorded as MOON BUKAS, LMT

✅
NPI Profile Active September 21, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 21, 2020

Registered at 888 NW HILL ST, BEND, OR 977032766 (Tel: 5414200604)

📍
Updated Business Mailing Address September 21, 2020

Registered at 2010 SW TIMBER AVE, REDMOND, OR 977566948 (Tel: 5417060961)

👤
Provider Name / Credentials Updated September 21, 2020

Recorded as MOON BUKAS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2020

Massage Therapist (License #023245 in OR)

🟢
Initial NPI Registration & Enumeration September 21, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174139588
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2020
Last Update: February 22, 2024
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

501 Ne Greenwood Ave #300

Bend, OR 97701

Phone: 5417060961

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.