OrganizationActive
Willamette Wine Spa LLC
NPI 1740159532 · Massage Therapist · Portland, OR
Provider details
- NPI number
- 1740159532
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kelly Lewis, Founder(808) 341-1583
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
1517 Ne Broadway St
Portland, OR 97232-1406
Phone: (503) 946-8450
Street-level locationGet directions
Mailing address
1838 Ne Wasco St
Portland, OR 97232-1444
Registry dates
- Enumerated
- 2025-10-31
- Last updated
- 2025-10-31
- Certified
- 2025-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.