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JUSTIN CLARK LMT
NPI 1013286863
Massage Therapist in Portland, OR

Active since December 23, 2011
12923 NW CORNELL RD, #201, PORTLAND, OR 97229(503) 646-3393 Get Directions Write a Review

NPPES record last updated: December 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justin Clark Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN CLARK LMT (NPI 1013286863) is an individual massage therapist in Portland, Oregon, licensed in Oregon (18505) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1013286863
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameJUSTIN CLARKCredential: LMT
Location Address12923 NW CORNELL RD, #201Portland, OR 97229-5834
Mailing Address12923 Nw Cornell Rd, #201Portland, OR 97229-5834 · (503) 646-3393
Phone(503) 646-3393
Sole ProprietorNo
Enumeration DateDecember 23, 2011
✔ NPI 1013286863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in OR · 18505
Definition
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.
12923 NW CORNELL RD, Portland, OR 97229
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DESIREE SWEARINGEN
Massage Therapist
12923 NW CORNELL RD, SUITE 201
PORTLAND, OR 97229
Washington County (503) 646-3393
TAMARA MCGUIRE-WYRICK X LMT
Massage Therapist
12923 NW CORNELL RD, SUITE 201
PORTLAND, OR 97229
Washington County (503) 646-3393
DAVID V AVOLIO D.C.
Chiropractor
12923 NW CORNELL RD, SUITE 201
PORTLAND, OR 97229
Washington County (503) 646-3393
MS. ELIZABETH GRACE DANIELS LMT
Massage Therapist
12923 NW CORNELL RD, SUITE 201
PORTLAND, OR 97229
Washington County (503) 646-3393
MS. JULIE ANNE DECHRISTOPHER L.AC.
Acupuncturist
12923 NW CORNELL RD, SUITE 103
PORTLAND, OR 97229
Washington County (503) 520-1270

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Clark's NPI number?

The NPI number for Justin Clark is 1013286863. It was assigned to this individual provider in the NPPES registry on December 23, 2011.

Where is Justin Clark located?

Justin Clark practices at 12923 NW Cornell Rd #201, Portland, OR 97229. The listed phone number is (503) 646-3393.

What is Justin Clark's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Justin Clark was last updated on December 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.