Independent US Healthcare Provider Directory & Public Medical Database
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Active NPI 1609228238 Organization (Entity Type 2)

Danielle

Massage Therapist • Gresham, OR

About Danielle NPI 1609228238 Summary

Danielle is a verified healthcare organization specializing in Massage Therapist operating in Gresham, OR. Located at 22400 SE STARK ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1609228238.

Administrative operations and authorized compliance are overseen by Danielle Sutton (Lmt).

The facility is associated with 17 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

22400 Se Stark St

Gresham, OR 970302656

Telephone 5097609947

Authorized Official Information

Authorized Contact Name

Danielle Sutton

Title / Role

Lmt

Official Telephone

5097609947

Facility Classifications & Specialties

Massage Therapist Primary Taxonomy

NUCC Taxonomy Code: 225700000X

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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

17 Linked

Mechanotherapist

Gresham, OR

View Practitioner Profile →

Massage Therapist

Gresham, OR

View Practitioner Profile →

Acupuncturist

Gresham, OR

View Practitioner Profile →
Teresa Lundy , LMT NPI 1124241005

Specialist

Gresham, OR

View Practitioner Profile →

Neuromusculoskeletal Medicine & OMM

Gresham, OR

View Practitioner Profile →

Massage Therapist

Gresham, OR

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active July 07, 2016

NPI status registered as active in NPPES database

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Updated Practice Location July 07, 2016

Registered at 22400 SE STARK ST, GRESHAM, OR 970302656 (Tel: 5097609947)

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Updated Business Mailing Address July 07, 2016

Registered at 22400 SE STARK ST, GRESHAM, OR 970302656

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Organization / Clinic Name Updated July 07, 2016

Operating as DANIELLE

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2016

Massage Therapist (License #19777 in OR)

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Initial NPI Registration & Enumeration July 07, 2016

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1609228238
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: July 07, 2016
Last Update: July 07, 2016

Mailing Address

22400 Se Stark St

Gresham, OR 970302656

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.