Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962125294 Individual Practitioner Female Practitioner

Sandra Renee Fairchild , LMT

Massage Therapist • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Sandra Fairchild, LMT is a registered healthcare professional specializing in Massage Therapist in Gresham, OR. Practice services are available at 24076 SE STARK ST STE 310 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

24076 Se Stark St Ste 310

Gresham, OR 970303386

Telephone 5035024570
Associated Practice Facility / Clinic
🏢 All Manual Therapy Facility NPI 1699546671

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: 2022-09-21
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License OR 13764

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

3 Associated Practitioners
Shinneaka Kaufmann , LMT

Massage Therapist

NPI 1093584740

Licensed Massage Therapist

NPI 1255381455

Doctor of Medicine (M.D.)

Vanessa Giannattasio

Massage Therapist

NPI 1922981968

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 21, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 21, 2022

Registered at 24076 SE STARK ST STE 310, GRESHAM, OR 970303386 (Tel: 5035024570)

📍
Updated Business Mailing Address September 21, 2022

Registered at 22489 SE VAN CUREN RD, EAGLE CREEK, OR 970228755 (Tel: 5035024570)

👤
Provider Name / Credentials Updated September 21, 2022

Recorded as SANDRA FAIRCHILD, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2022

Massage Therapist (License #13764 in OR)

🟢
Initial NPI Registration & Enumeration September 21, 2022

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: 1962125294
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2022
Last Update: September 21, 2022
Sole Proprietor: Yes

Mailing Address

22489 Se Van Curen Rd

Eagle Creek, OR 970228755

Phone: 5035024570

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.