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JENNIFER MARIE BOOM LMT
NPI 1164547634
Massage Therapist in Gresham, OR

Active since March 21, 2007
24850 SE STARK ST, SUITE 200, GRESHAM, OR 97030(503) 310-2622 Get Directions Write a Review

NPPES record last updated: November 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Marie Boom Lmt NPPES

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

JENNIFER MARIE BOOM LMT (NPI 1164547634) is an individual massage therapist in Gresham, Oregon, licensed in Oregon (7615) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1164547634
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJENNIFER MARIE BOOMCredential: LMT
Location Address24850 SE STARK ST, SUITE 200Gresham, OR 97030-8316
Mailing Address24850 Se Stark St, Suite 200Gresham, OR 97030-8316 · (503) 310-2622
Phone(503) 310-2622
Sole ProprietorNo
Enumeration DateMarch 21, 2007
Last NPPES UpdateNovember 9, 2016
✔ NPI 1164547634 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 · 7615
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.
24850 SE STARK ST, Gresham, OR 97030
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Other Providers at the Same Location NPPES 13

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

DR. HENRY COOKE WINDELL DMD
Dentist (Oral and Maxillofacial Pathology)
24850 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 665-7882
JUNE ELLEN HOBBS CNM
Advanced Practice Midwife
24850 SE STARK ST, SUITE 200
GRESHAM, OR 97030
Multnomah County (503) 491-9444
GRETCHEN ANN GROOMS LMT
Massage Therapist
24850 SE STARK ST, SUITE 200
GRESHAM, OR 97030
Multnomah County (503) 929-7220
DR. JULIA W MASON MD
Pediatrics
24850 SE STARK ST, SUITE 150
GRESHAM, OR 97030
Multnomah County (503) 491-0714
DR. JOHN ANTHONY CALCAGNO MD
Pediatrics
24850 SE STARK ST, STE 150
GRESHAM, OR 97030
Multnomah County (503) 491-0714
CALCAGNO PEDIATRICS PC
Pediatrics
24850 SE STARK ST, STE 150
GRESHAM, OR 97030
Multnomah County (503) 491-0714
DR. FRANK ANTHONY CALCAGNO MD
Pediatrics
24850 SE STARK ST, STE 150
GRESHAM, OR 97030
Multnomah County (503) 491-0714
DR. RUSSELL ARON LIEBLICK DMD
Dentist (Oral and Maxillofacial Surgery)
24850 SE STARK ST, SUITE 100
GRESHAM, OR 97030
Multnomah County (503) 665-7882

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 Jennifer Boom's NPI number?

The NPI number for Jennifer Boom is 1164547634. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Jennifer Boom located?

Jennifer Boom practices at 24850 SE Stark St Suite 200, Gresham, OR 97030. The listed phone number is (503) 310-2622.

What is Jennifer Boom'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 Jennifer Boom was last updated on November 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.