CAROLINE DEJEN BLAKE LMT
NPI 1023385713
Massage Therapist in Portland, OR

Active since November 22, 2011
1928 NE 40TH AVE, PORTLAND, OR 97212(503) 287-2787 Get Directions Write a Review

NPPES record last updated: November 22, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Caroline Dejen Blake Lmt NPPES

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

CAROLINE DEJEN BLAKE LMT (NPI 1023385713) is an individual massage therapist in Portland, Oregon, licensed in Oregon (16590) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1023385713
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameCAROLINE DEJEN BLAKECredential: LMT
Location Address1928 NE 40TH AVEPortland, OR 97212-5310
Mailing Address1589 S Cherry StCornelius, OR 97113-7412 · (503) 860-7304
Sole ProprietorYes
Enumeration DateNovember 22, 2011
NPI 1023385713 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 · 16590
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.
1928 NE 40TH AVE, Portland, OR 97212

Other Providers at the Same Location NPPES 8

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

Massage Therapist
1928 NE 40TH AVE
PORTLAND, OR 97212
Massage Therapist
1928 NE 40TH AVE
PORTLAND, OR 97212
Massage Therapist
1928 NE 40TH AVE
PORTLAND, OR 97212
Massage Therapist
1928 NE 40TH AVE
PORTLAND, OR 97212
Massage Therapist
1928 NE 40TH AVE
PORTLAND, OR 97212
Massage Therapist
1928 NE 40TH AVE
PORTLAND, OR 97212
Massage Therapist
1928 NE 40TH AVE
PORTLAND, OR 97212
Massage Therapist
1928 NE 40TH AVE
PORTLAND, OR 97212

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 Caroline Blake's NPI number?

The NPI number for Caroline Blake is 1023385713. It was assigned to this individual provider in the NPPES registry on November 22, 2011.

Where is Caroline Blake located?

Caroline Blake practices at 1928 NE 40th Ave, Portland, OR 97212. The listed phone number is (503) 287-2787.

What is Caroline Blake'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 Caroline Blake was last updated on November 22, 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.