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JITTRA BOONNIM LMT
NPI 1013614197
Massage Therapist in Tigard, OR

Active since February 09, 2023
9600 SW OAK ST STE 410, TIGARD, OR 97223(503) 308-8676 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 2, 2026, Feb 9, 2023 (2 updates tracked since 2023).

About Jittra Boonnim Lmt NPPES

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

JITTRA BOONNIM LMT (NPI 1013614197) is an individual massage therapist in Tigard, Oregon, licensed in Oregon (27324) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1013614197
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJITTRA BOONNIMCredential: LMT
Location Address9600 SW OAK ST STE 410Tigard, OR 97223-6581
Mailing Address1930 S River Dr Unit 306Portland, OR 97201-8054 · (971) 222-9600
Phone(503) 308-8676
Sole ProprietorYes
Enumeration DateFebruary 9, 2023
Last NPPES UpdateJanuary 2, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2026
✔ NPI 1013614197 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 · 27324
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.

9600 SW OAK ST STE 410, Tigard, OR 97223
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Other Providers at the Same Location NPPES 4

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

ROD FREDERICK RICHMOND LAC
Acupuncturist
9600 SW OAK ST STE 410
TIGARD, OR 97223
Washington County (503) 308-8676
AMY NICOLE HOMER-BROWN MBBS, MSOM, LAC
Acupuncturist
9600 SW OAK ST STE 410
TIGARD, OR 97223
Washington County (503) 308-8676
IKIGAI WELLNESS LLC
Acupuncturist
9600 SW OAK ST STE 410
TIGARD, OR 97223
Washington County (503) 308-8676
MS. MARY PEARL WILSON LMT
Mechanotherapist
9600 SW OAK ST STE 410
PORTLAND, OR 97223
Washington County (503) 308-8676

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 Jittra Boonnim's NPI number?

The NPI number for Jittra Boonnim is 1013614197. It was assigned to this individual provider in the NPPES registry on February 9, 2023.

Where is Jittra Boonnim located?

Jittra Boonnim practices at 9600 SW Oak St Ste 410, Tigard, OR 97223. The listed phone number is (503) 308-8676.

What is Jittra Boonnim'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 Jittra Boonnim was last updated on January 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.