Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780955138 Individual Practitioner Male Practitioner

Douglas Meacham , LMT

Massage Therapist • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Douglas Meacham, LMT is a registered healthcare professional specializing in Massage Therapist in Gresham, OR. Practice services are available at 123 E POWELL BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

123 E Powell Blvd
# 304

Gresham, OR 970307624

Telephone 5033197142

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 12196

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
Angela Caiazza , LMFT

Marriage & Family Therapist

NPI 1174797500

Licensed Marriage and Family Therapist

Dr. Ryan Skelton , PsyD

Psychologist - Cognitive & Behavioral

NPI 1245554567

Doctor of Psychology (Psy.D.)

NPI 1508856642

Doctor of Philosophy (Ph.D.)

Deanne Warner , MSW

Social Worker

NPI 1760791271

Master of Social Work

Richard Sansom , LPC

Counselor - Professional

NPI 1861638405

Licensed Professional Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 17, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 17, 2012

Registered at 123 E POWELL BLVD, # 304, GRESHAM, OR 970307624 (Tel: 5033197142)

📍
Updated Business Mailing Address January 17, 2012

Registered at 123 E POWELL BLVD, # 304, GRESHAM, OR 970307624 (Tel: 5033197142)

👤
Provider Name / Credentials Updated January 17, 2012

Recorded as DOUGLAS MEACHAM, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2012

Massage Therapist (License #12196 in OR)

🟢
Initial NPI Registration & Enumeration January 17, 2012

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: 1780955138
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2012
Last Update: January 17, 2012
Sole Proprietor: Yes

Mailing Address

123 E Powell Blvd, # 304

Gresham, OR 970307624

Phone: 5033197142

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.