Provider Demographics
NPI:1528187861
Name:INTEGRETICS, LLC
Entity Type:Organization
Organization Name:INTEGRETICS, LLC
Other - Org Name:OREGON CLINICAL MASSAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ARIANA
Authorized Official - Middle Name:R
Authorized Official - Last Name:ORTON
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, NCMMT
Authorized Official - Phone:503-891-9654
Mailing Address - Street 1:1939 NE BROADWAY ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-1583
Mailing Address - Country:US
Mailing Address - Phone:503-891-9654
Mailing Address - Fax:503-281-0008
Practice Address - Street 1:1939 NE BROADWAY ST
Practice Address - Street 2:SUITE B
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-1583
Practice Address - Country:US
Practice Address - Phone:503-891-9654
Practice Address - Fax:503-281-0008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR7207225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty