OrganizationActive
Lavender Moon Wellness LLC
NPI 1619717170 · Massage Therapist · Portland, OR
Provider details
- NPI number
- 1619717170
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Samantha M Paquette, Owner(503) 960-3366
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
2933 Ne Broadway St
Portland, OR 97232-1760
Phone: (503) 960-3366
Street-level locationGet directions
Mailing address
2933 Ne Broadway St
Portland, OR 97232-1760
Other names (DBA / former)
- Doing business as
- Lavender Moon Wellness
- Doing business as
- Unfurl Center
Registry dates
- Enumerated
- 2024-05-30
- Last updated
- 2024-05-30
- Certified
- 2024-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.