Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1326605932 Individual Practitioner Female Practitioner

Korinne Mack

Massage Therapist • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Korinne Mack is a registered healthcare professional specializing in Massage Therapist in Gresham, OR. Practice services are available at 405 NE DIVISION ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

405 Ne Division St

Gresham, OR 970303947

Telephone 5036610791
Associated Practice Facility / Clinic
🏢 Kuns Chiropractic Clinic Inc Facility NPI 1316071046

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 25020

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Karie James , LMT

Massage Therapist

NPI 1164944351

Licensed Massage Therapist

Ukiko Maxwell , LMT

Massage Therapist

NPI 1215580345

Licensed Massage Therapist

NPI 1437633112

Licensed Massage Therapist

NPI 1669053484

MASSAGETHERAPIST

NPI 1669518940

Doctor of Chiropractic

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 20, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 20, 2019

Registered at 405 NE DIVISION ST, GRESHAM, OR 970303947 (Tel: 5036610791)

📍
Updated Business Mailing Address May 20, 2019

Registered at 923 NE 55TH AVE, PORTLAND, OR 972133604 (Tel: 4144848222)

👤
Provider Name / Credentials Updated May 20, 2019

Recorded as KORINNE MACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2019

Massage Therapist (License #25020 in OR)

🟢
Initial NPI Registration & Enumeration May 20, 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: 1326605932
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2019
Last Update: May 20, 2019
Sole Proprietor: Yes

Mailing Address

923 Ne 55th Ave

Portland, OR 972133604

Phone: 4144848222

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.