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Active NPI 1972634061 Individual Practitioner Female Practitioner

Angela G Vandenbos , LMT

Massage Therapist • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Angela Vandenbos, LMT is a registered healthcare professional specializing in Massage Therapist in Gresham, OR. Practice services are available at 39 NE KELLY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

39 Ne Kelly Ave

Gresham, OR 970307539

Telephone 5033149162
Fax 5034928560

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 6248

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
Xuanhong Hu , LMT

Massage Therapist

NPI 1386014694

Licensed Massage Therapist

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active September 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 08, 2016

Registered at 39 NE KELLY AVE, GRESHAM, OR 970307539 (Tel: 5033149162)

📍
Updated Business Mailing Address September 08, 2016

Registered at 39 NE KELLY AVE, GRESHAM, OR 970307539 (Tel: 5033149162)

👤
Provider Name / Credentials Updated September 08, 2016

Recorded as ANGELA VANDENBOS, L.M.T.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2016

Massage Therapist (License #6248 in OR)

🟢
Initial NPI Registration & Enumeration March 08, 2007

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: 1972634061
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2007
Last Update: September 08, 2016
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

39 Ne Kelly Ave

Gresham, OR 970307539

Phone: 5033149162

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.