Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528394608 Individual Practitioner Female Practitioner

Andrea Joy Butler , LMT

Massage Therapist • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Andrea Butler, LMT is a registered healthcare professional specializing in Massage Therapist in Gresham, OR. Practice services are available at 23479 SE STARK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

23479 Se Stark St

Gresham, OR 970302962

Telephone 5036679300
Fax 5036674975
Associated Practice Facility / Clinic
🏢 Rinnovare Laser And Wellness Facility NPI 1306003645

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 12802

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

1 Associated Practitioners
NPI 1760407530

DCMD

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 25, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2012

Registered at 23479 SE STARK ST, GRESHAM, OR 970302962 (Tel: 5036679300)

📍
Updated Business Mailing Address April 25, 2012

Registered at 10915 SE STARK ST., PORTLAND, OR 97216 (Tel: 5032611120)

👤
Provider Name / Credentials Updated April 25, 2012

Recorded as ANDREA BUTLER, L.M.T.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2012

Massage Therapist (License #12802 in OR)

🟢
Initial NPI Registration & Enumeration October 26, 2009

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: 1528394608
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2009
Last Update: April 25, 2012
Sole Proprietor: No

Mailing Address

10915 Se Stark St.

Portland, OR 97216

Phone: 5032611120

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.