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Blake Holloway

Massage Therapist β€’ Gresham, OR

Active NPI 1083461115 Individual Practitioner Male Practitioner
Practice location in NPPES

23500 Se Stark St
Gresham, OR 970302942

Call 5034068846 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

23500 Se Stark St

Gresham, OR 970302942

Telephone 5034068846
Organization at the Same NPPES Address or Phone
Healing Arts Massage Llc Facility NPI 1598528747

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gresham and Oregon

127 active clinicians are listed under Massage Therapist with a practice address in Gresham, OR (6,086 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gresham

0% of these 127 clinicians have the CMS telehealth indicator.

0% of these 127 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-26
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

License # reported to NPPES OR 24304

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location March 26, 2026

Registered at 23500 SE STARK ST, GRESHAM, OR 970302942 (Tel: 5034068846)

πŸ“
Updated Business Mailing Address March 26, 2026

Registered at 23500 SE STARK ST, GRESHAM, OR 970302942 (Tel: 5034068846)

βœ…
NPI Profile Active May 06, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 06, 2024

Registered at 4322 SE 182ND AVE, GRESHAM, OR 970305058 (Tel: 5034068846)

πŸ“
Business Mailing Address (Initial Record) May 06, 2024

Registered at 4322 SE 182ND AVE, GRESHAM, OR 970305058 (Tel: 5034068846)

πŸ‘€
Provider Name / Credentials (Initial Record) May 06, 2024

Recorded as BLAKE HOLLOWAY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2024

Massage Therapist (license number reported to NPPES: OR 24304)

🟒
Initial NPI Registration & Enumeration May 06, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1083461115
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2024
Last Update: March 26, 2026
Sole Proprietor: No

Mailing Address

23500 Se Stark St

Gresham, OR 970302942

Phone: 5034068846

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.