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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: August 16, 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
Phone(503) 785-9914
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
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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.

TEDDY MARTIN LMT
Massage Therapist
7925 SE STARK ST
PORTLAND, OR 97215
Multnomah County (503) 785-9914
MISS HILLARY INGRID KIBGIS OTRL
Occupational Therapist
7925 SE STARK ST
PORTLAND, OR 97215
Multnomah County (503) 922-9895
JULIE HAWKINS KOROCH L.AC.
Acupuncturist
7925 SE STARK ST
PORTLAND, OR 97215
Multnomah County (503) 701-3042
MIA M NEUSE MILENA NEUSE
Acupuncturist
7925 SE STARK ST
PORTLAND, OR 97215
Multnomah County (503) 539-9180
MIA NEUSE, L.AC., LLC
Acupuncturist
7925 SE STARK ST
PORTLAND, OR 97215
Multnomah County (503) 467-4127
JULIE KOROCH ACUPUNCTURE LLC
Clinic/Center (Health Service)
7925 SE STARK ST
PORTLAND, OR 97215
Multnomah County (503) 701-3042
FUNCTION THERAPEUTICS LLC
Clinic/Center (Rehabilitation)
7925 SE STARK ST
PORTLAND, OR 97215
Multnomah County (503) 922-9895

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.