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

Willamette Wine Spa LLC

Organization Massage Therapist · NPI 1740159532

Willamette Wine Spa LLC is a Massage Therapist in Portland, Oregon. Registered with an NPI since 2025.

In the registry since
2025
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

1517 NE Broadway St
Portland, OR 97232-1406
Phone: (503) 946-8450
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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 number1740159532
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Lewis — Founder · (808) 341-1583
NPI enumeratedOctober 31, 2025
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025
Mailing address1838 Ne Wasco St, Portland, OR 97232-1444

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