MEDICARE: APOTHIC ENERGY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1144164112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APOTHIC ENERGY LLC

Provider Business Mailing Address
First Line	:	1505 SW COZINE ST
Second Line	:
City	:	MCMINNVILLE
State	:	OR
Zip	:	97128-5747
Country	:	US
Telephone Number	:	503-758-5763
Fax Number	:

Provider Business Practice Location Address
First Line	:	2115 NE MCDONALD LN # 1
Second Line	:
City	:	MCMINNVILLE
State	:	OR
Zip	:	97128-3230
Country	:	US
Telephone Number	:	503-758-5763
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SARAH MARIE LIVINGS
Credential	:	LMT
Telephone Number	:	503-758-5763

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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Directions to “APOTHIC ENERGY LLC ” Practice Location

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