Healthcare Provider Details

I. General information

NPI: 1407792963
Provider Name (Legal Business Name): MER MASSAGE & ASHIATSU
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 SW FOREST AVE STE B
REDMOND OR
97756-2388
US

IV. Provider business mailing address

4274 SW 40TH ST
REDMOND OR
97756-6534
US

V. Phone/Fax

Practice location:
  • Phone: 541-639-9333
  • Fax:
Mailing address:
  • Phone: 541-639-9333
  • 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: SHEILA ANN NEUMANN
Title or Position: OWNER/LMT
Credential: LMT
Phone: 541-639-9333