Lake Grove Wellness
NPI 1053723536 · Massage Therapist · Lake Oswego, OR
Lake Grove Wellness is a Massage Therapist organization in Lake Oswego, OR (NPI 1053723536).
Provider details
- NPI number
- 1053723536
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kathleeen Jordan, Owner(503) 908-1180
- License
- 6748 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Registry dates
- Enumerated
- 2014-06-02
- Last updated
- 2014-06-02
Frequently asked questions
- What is Lake Grove Wellness's NPI number?
- Lake Grove Wellness's National Provider Identifier (NPI) is 1053723536, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Grove Wellness?
- Lake Grove Wellness is classified in the NPPES registry as Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Lake Grove Wellness located?
- Lake Grove Wellness's practice location on file with NPPES is 16320 Bryant Rd, Lake Oswego, OR 97035-4308.
- What is Lake Grove Wellness's phone number?
- The practice phone number listed in the NPPES registry for Lake Grove Wellness is (503) 908-1180.
- Who is the authorized official for Lake Grove Wellness?
- The authorized official listed on Lake Grove Wellness's NPPES record is Kathleeen Jordan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Grove Wellness's NPI active?
- Yes — Lake Grove Wellness's NPI (1053723536) is active in the NPPES registry as of the last update on 2014-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.