Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083461115 Individual Practitioner Male Practitioner

Blake Holloway

Massage Therapist • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Blake Holloway is a registered healthcare professional specializing in Massage Therapist in Gresham, OR. Practice services are available at 23500 SE STARK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

23500 Se Stark St

Gresham, OR 970302942

Telephone 5034068846
Associated Practice Facility / Clinic
🏢 Healing Arts Massage Llc Facility NPI 1598528747

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Gresham, OR

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

Practicing in Gresham, 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: 2026-03-26
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License OR 24304

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

8 Historical Events
📍
Updated Practice Location March 26, 2026

Registered at 23500 SE STARK ST, GRESHAM, OR 970302942 (Tel: 5034068846)

📍
Updated Business Mailing Address March 26, 2026

Registered at 23500 SE STARK ST, GRESHAM, OR 970302942 (Tel: 5034068846)

NPI Profile Active May 06, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location May 06, 2024

Registered at 4322 SE 182ND AVE, GRESHAM, OR 970305058 (Tel: 5034068846)

📍
Updated Business Mailing Address May 06, 2024

Registered at 4322 SE 182ND AVE, GRESHAM, OR 970305058 (Tel: 5034068846)

👤
Provider Name / Credentials Updated May 06, 2024

Recorded as BLAKE HOLLOWAY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2024

Massage Therapist (License #24304 in OR)

🟢
Initial NPI Registration & Enumeration May 06, 2024

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: 1083461115
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2024
Last Update: March 26, 2026
Sole Proprietor: No

Mailing Address

23500 Se Stark St

Gresham, OR 970302942

Phone: 5034068846

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.