LYLE DETTLOFF
NPI 1154985208
Massage Therapist in Portland, OR

Active since April 24, 2019
728 NE DEKUM ST, PORTLAND, OR 97211(503) 568-1906 Get Directions Write a Review

NPPES record last updated: April 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lyle Dettloff NPPES

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

LYLE DETTLOFF (NPI 1154985208) is an individual massage therapist in Portland, Oregon and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1154985208
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameLYLE DETTLOFF
Location Address728 NE DEKUM STPortland, OR 97211-3628
Mailing Address728 Ne Dekum StPortland, OR 97211-3628
Sole ProprietorNo
Enumeration DateApril 24, 2019
NPI 1154985208 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
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.
728 NE DEKUM ST, Portland, OR 97211

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.

Massage Therapist
728 NE DEKUM ST
PORTLAND, OR 97211
Acupuncturist
728 NE DEKUM ST
PORTLAND, OR 97211
Social Worker (Clinical)
728 NE DEKUM ST
PORTLAND, OR 97211
Psychologist (Clinical)
728 NE DEKUM ST
PORTLAND, OR 97211
Chiropractor
728 NE DEKUM ST
PORTLAND, OR 97211
Clinic/Center
728 NE DEKUM ST
PORTLAND, OR 97211

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 Lyle Dettloff's NPI number?

The NPI number for Lyle Dettloff is 1154985208. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Where is Lyle Dettloff located?

Lyle Dettloff practices at 728 NE Dekum St, Portland, OR 97211. The listed phone number is (503) 568-1906.

What is Lyle Dettloff'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 Lyle Dettloff was last updated on April 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.