OrganizationActive
Beaverton Medical Massage LLC
NPI 1033567516 · Massage Therapist · Beaverton, OR
Provider details
- NPI number
- 1033567516
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kc Davidson, Owner(503) 730-0884
- License
- 7107 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3863 Sw Hall Blvd Ste B
Beaverton, OR 97005-2042
Phone: (503) 730-0884
Street-level locationGet directions
Mailing address
3863 Sw Hall Blvd Ste B
Beaverton, OR 97005-2042
Registry dates
- Enumerated
- 2016-05-25
- Last updated
- 2016-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.