Healthcare Provider Details

I. General information

NPI: 1184528077
Provider Name (Legal Business Name): NIKKI BECK LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 3RD ST STE 215
HOOD RIVER OR
97031-2193
US

IV. Provider business mailing address

58 ANDERSON RD
WHITE SALMON WA
98672-8336
US

V. Phone/Fax

Practice location:
  • Phone: 800-277-0117
  • Fax:
Mailing address:
  • Phone: 530-584-8065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number29640
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: