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MR. CALEB BRUCE WILSON LMT
NPI 1093592875
Massage Therapist in Portland, OR

Active since September 13, 2023
2100 NE BROADWAY ST STE 125, PORTLAND, OR 97232(503) 477-8222 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Caleb Bruce Wilson Lmt NPPES

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

MR. CALEB BRUCE WILSON LMT (NPI 1093592875) is an individual massage therapist in Portland, Oregon, licensed in Oregon (26664) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1093592875
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. CALEB BRUCE WILSONCredential: LMT
Location Address2100 NE BROADWAY ST STE 125Portland, OR 97232-1500
Mailing Address3615 Se Hawthorne Blvd Apt 7Portland, OR 97214-5160 · (352) 502-6036
Phone(503) 477-8222
Sole ProprietorYes
Enumeration DateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
✔ NPI 1093592875 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 · 26664
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.
2100 NE BROADWAY ST STE 125, Portland, OR 97232
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Other Providers at the Same Location NPPES 6

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

REBECCA A ABRAMS LMT
Massage Therapist
2100 NE BROADWAY ST STE 125
PORTLAND, OR 97232
Multnomah County (503) 477-8222
CHRISTOPHER LESHAWN ELLIOTT-PERSON
Massage Therapist
2100 NE BROADWAY ST STE 125
PORTLAND, OR 97232
Multnomah County (503) 477-8222
SERGIO ARANGO LMT
Massage Therapist
2100 NE BROADWAY ST STE 125
PORTLAND, OR 97232
Multnomah County (503) 477-8222
KENDRA OLDOW
Massage Therapist
2100 NE BROADWAY ST STE 125
PORTLAND, OR 97232
Multnomah County (503) 477-8222
JULIA HENDERSON LMT
Massage Therapist
2100 NE BROADWAY ST STE 125
PORTLAND, OR 97232
Multnomah County (503) 477-8222
TARA FORD
Massage Therapist
2100 NE BROADWAY ST STE 125
PORTLAND, OR 97232
Multnomah County (503) 477-8222

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 Caleb Wilson's NPI number?

The NPI number for Caleb Wilson is 1093592875. It was assigned to this individual provider in the NPPES registry on September 13, 2023.

Where is Caleb Wilson located?

Caleb Wilson practices at 2100 NE Broadway St Ste 125, Portland, OR 97232. The listed phone number is (503) 477-8222.

What is Caleb Wilson'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 Caleb Wilson was last updated on September 13, 2023. 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.