Lake Grove Wellness
NPI 1053723536ActiveOrganization· Massage Therapist· Lake Oswego, OR
Massage Therapist in Lake Oswego, Oregon, registered in NPPES in June 2014. The authorized official on file is Kathleeen Jordan, LMT, Owner.
Overview
| NPI | 1053723536 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 2, 2014 |
| Last updated in NPPES | Jun 2, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Massage Therapist Primary | 225700000X | 6748 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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