Healthcare Provider Details

I. General information

NPI: 1174438543
Provider Name (Legal Business Name): LANORA HEALING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 E 16TH AVE
EUGENE OR
97401-4017
US

IV. Provider business mailing address

1770 W 34TH AVE
EUGENE OR
97405-1707
US

V. Phone/Fax

Practice location:
  • Phone: 541-232-9668
  • Fax:
Mailing address:
  • Phone: 541-232-9668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: REGGIE MARTINEZ
Title or Position: MASSAGE THERAPIST
Credential:
Phone: 541-232-9668