Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lavender Moon Wellness LLC

Organization Massage Therapist · NPI 1619717170

Lavender Moon Wellness LLC is a Massage Therapist in Portland, Oregon. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2933 NE Broadway St
Portland, OR 97232-1760
Phone: (503) 960-3366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1619717170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samantha M Paquette — Owner · (503) 960-3366
Other names Lavender Moon Wellness; Unfurl Center
NPI enumeratedMay 30, 2024
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024
Mailing address2933 Ne Broadway St, Portland, OR 97232-1760

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