Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053683813 Individual Practitioner Male Practitioner

Brian Soderholm , LMT

Mechanotherapist • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Brian Soderholm, LMT is a registered healthcare professional specializing in Mechanotherapist in Gresham, OR. Practice services are available at 22400 SE STARK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

22400 Se Stark St

Gresham, OR 970302656

Telephone 5034915555
Fax 5036745005
Associated Practice Facility / Clinic
🏢 Mt. Hood Vision, Inc Facility NPI 1477571149

Specialty Benchmarks & Practice Insights

Comparative analytics for Mechanotherapist in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Gresham, OR (242 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

Mechanotherapist Primary Specialty

NUCC Taxonomy Code: 172M00000X

State License OR 18501

A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy.

Massage Therapist

NUCC Taxonomy Code: 225700000X

State License OR 18501

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
Georgia Fountas , LMT

Massage Therapist

NPI 1073869707

Licensed Massage Therapist

Dr. Maureen Sacon , DO

Neuromusculoskeletal Medicine & OMM

NPI 1205055100

Doctor of Osteopathic Medicine (D.O.)

Sarah Carl , LMT

Massage Therapist

NPI 1487846127

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 February 08, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 08, 2012

Registered at 22400 SE STARK ST, GRESHAM, OR 970302656 (Tel: 5034915555)

📍
Updated Business Mailing Address February 08, 2012

Registered at 3536 N COMMERCIAL AVE, PORTLAND, OR 972271308 (Tel: 7737010675)

👤
Provider Name / Credentials Updated February 08, 2012

Recorded as BRIAN SODERHOLM, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2012

Massage Therapist (License #18501 in OR)

🟢
Initial NPI Registration & Enumeration February 08, 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: 1053683813
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2012
Last Update: February 08, 2012
Sole Proprietor: Yes

Mailing Address

3536 N Commercial Ave

Portland, OR 972271308

Phone: 7737010675

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.