Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1093272627 Deactivated / Inactive NPI Male Practitioner

James Monje-Lara , MASSAGE THERAPIST

Massage Therapist • Gresham, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, James Monje-Lara has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 01, 2019
NPI Deactivation Date October 21, 2023
Total Practice Duration ~4 Years of Practice (2019 – 2023)

Professional Overview & Biography Verified Profile Summary

James Monje-Lara, MASSAGE THERAPIST was a registered Massage Therapist practicing in Gresham, OR. Throughout an active medical career spanning 4 years, James Monje-Lara provided care at the practice location at 1112 NW 15TH ST APT B309 until profile deactivation on 2023-10-21.

Practice Location & Contact Primary Location

Practice Address

1112 Nw 15th St Apt B309

Gresham, OR 970304960

Telephone 9713868289

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

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License OR 23675

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

7 Historical Events
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NPI Profile Deactivated October 21, 2023

Record deactivated on October 21, 2023

NPI Profile Active March 01, 2019

NPI status registered as active in NPPES database

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Updated Practice Location March 01, 2019

Registered at 1112 NW 15TH ST APT B309, GRESHAM, OR 970304960 (Tel: 9713868289)

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Updated Business Mailing Address March 01, 2019

Registered at 1112 NW 15TH ST APT B309, GRESHAM, OR 970304960 (Tel: 9713868289)

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Provider Name / Credentials Updated March 01, 2019

Recorded as JAMES MONJE-LARA, MASSAGE THERAPIST

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2019

Massage Therapist (License #23675 in OR)

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Initial NPI Registration & Enumeration March 01, 2019

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: 1093272627
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2019
Last Update: March 01, 2019
Deactivation Date: October 21, 2023

Mailing Address

1112 Nw 15th St Apt B309

Gresham, OR 970304960

Phone: 9713868289

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.