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JAEDON CHURCHILL DICKS LMT
NPI 1194510958
Massage Therapist in Portland, OR

Active since April 11, 2025
7318 N LEAVITT AVE, PORTLAND, OR 97203(503) 567-5880 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jaedon Churchill Dicks Lmt NPPES

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

JAEDON CHURCHILL DICKS LMT (NPI 1194510958) is an individual massage therapist in Portland, Oregon, licensed in Oregon (28873) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1194510958
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameJAEDON CHURCHILL DICKSCredential: LMT
Location Address7318 N LEAVITT AVEPortland, OR 97203-4840
Mailing Address8222 N Edison StPortland, OR 97203-4912 · (541) 728-6867
Phone(503) 567-5880
Sole ProprietorYes
Enumeration DateApril 11, 2025
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1194510958 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 · 28873
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.

7318 N LEAVITT AVE, Portland, OR 97203
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

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.

MEGAN ELIZABETH ROOD LMT, BS
Massage Therapist
7318 N LEAVITT AVE
PORTLAND, OR 97203
Multnomah County (503) 567-5880
ELVIRA GRUSSENMEYER LMT
Massage Therapist
7318 N LEAVITT AVE
PORTLAND, OR 97203
Multnomah County (503) 567-5880
BLUE FOOT HEALING LLC
Massage Therapist
7318 N LEAVITT AVE
PORTLAND, OR 97203
Multnomah County (503) 567-5880
MEGAN HUMPHREY LMT
Massage Therapist
7318 N LEAVITT AVE
PORTLAND, OR 97203
Multnomah County (503) 567-5880
PAKE R. NIELSON LMT
Massage Therapist
7318 N LEAVITT AVE
PORTLAND, OR 97203
Multnomah County (503) 567-5880
KIMBER DONNELLY
Massage Therapist
7318 N LEAVITT AVE
PORTLAND, OR 97203
Multnomah County (503) 567-5880
JACKSON SOMERVILLE LMT
Massage Therapist
7318 N LEAVITT AVE
PORTLAND, OR 97203
Multnomah County (503) 567-5880

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 Jaedon Churchill Dicks's NPI number?

The NPI number for Jaedon Churchill Dicks is 1194510958. It was assigned to this individual provider in the NPPES registry on April 11, 2025.

Where is Jaedon Churchill Dicks located?

Jaedon Churchill Dicks practices at 7318 N Leavitt Ave, Portland, OR 97203. The listed phone number is (503) 567-5880.

What is Jaedon Churchill Dicks's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

What insurance does Jaedon Churchill Dicks accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Jaedon Churchill Dicks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaedon Churchill Dicks was last updated on April 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.