{
"Npi": {
"NPI": "1659654424",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "A TOUCH OF TRANQUILITY MASSAGE",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "11943 SE 362ND AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BORING",
"MailingAddressStateName": "OR",
"MailingAddressPostalCode": "97009-8720",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "971-409-0949",
"MailingAddressFaxNumber": "503-663-0664",
"FirstLinePracticeLocationAddress": "17150 UNIVERSITY AVE",
"SecondLinePracticeLocationAddress": "SUITE 100",
"PracticeLocationAddressCityName": "SANDY",
"PracticeLocationAddressStateName": "OR",
"PracticeLocationAddressPostalCode": "97055-9290",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "971-409-0949",
"PracticeLocationAddressFaxNumber": "503-663-0664",
"EnumerationDate": "09/27/2011",
"LastUpdateDate": "09/27/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROLPH",
"AuthorizedOfficialFirstName": "ATHENA",
"AuthorizedOfficialMiddleName": "WRENNETTE",
"AuthorizedOfficialTitle": "OWNER/OPERATOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LMT",
"AuthorizedOfficialTelephoneNumber": "971-409-0949",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QH0100X",
"TaxonomyName": "Health Service Clinic/Center",
"LicenseNumber": "18063",
"LicenseNumberStateCode": "OR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}