SAMUEL JACKSON LISIESKI LMT
NPI 1063243582
Massage Therapist in Portland, OR

Active since August 08, 2024
7925 SE STARK ST, PORTLAND, OR 97215(503) 785-9914 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samuel Jackson Lisieski Lmt NPPES

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

SAMUEL JACKSON LISIESKI LMT (NPI 1063243582) is an individual massage therapist in Portland, Oregon, licensed in Oregon (28282) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1063243582
Entity TypeIndividual
Primary Taxonomy225700000X
Provider Legal NameSAMUEL JACKSON LISIESKICredential: LMT
Location Address7925 SE STARK STPortland, OR 97215-2341
Mailing Address326 Ne 78th AvePortland, OR 97213-6339 · (512) 230-7416
Sole ProprietorNo
Enumeration DateAugust 8, 2024
NPPES CertifiedAugust 8, 2024
NPI 1063243582 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 · 28282
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.

7925 SE STARK ST, Portland, OR 97215

Other Providers at the Same Location NPPES 7

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

Massage Therapist
7925 SE STARK ST
PORTLAND, OR 97215
Occupational Therapist
7925 SE STARK ST
PORTLAND, OR 97215
Acupuncturist
7925 SE STARK ST
PORTLAND, OR 97215
Acupuncturist
7925 SE STARK ST
PORTLAND, OR 97215
Acupuncturist
7925 SE STARK ST
PORTLAND, OR 97215
Clinic/Center (Health Service)
7925 SE STARK ST
PORTLAND, OR 97215
Clinic/Center (Rehabilitation)
7925 SE STARK ST
PORTLAND, OR 97215

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 Samuel Lisieski's NPI number?

The NPI number for Samuel Lisieski is 1063243582. It was assigned to this individual provider in the NPPES registry on August 8, 2024.

Where is Samuel Lisieski located?

Samuel Lisieski practices at 7925 SE Stark St, Portland, OR 97215. The listed phone number is (503) 785-9914.

What is Samuel Lisieski'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 Samuel Lisieski was last updated on August 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.