NATHAN ISAIAH PETERSON L.M.T.
NPI 1225489594
Massage Therapist in Portland, OR

Active since June 28, 2016
2390 NW THURMAN ST, PORTLAND, OR 97210(541) 543-3512 Get Directions Write a Review

NPPES record last updated: June 28, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nathan Isaiah Peterson L.m.t. NPPES

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

NATHAN ISAIAH PETERSON L.M.T. (NPI 1225489594) is an individual massage therapist in Portland, Oregon, licensed in Oregon (21438) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1225489594
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameNATHAN ISAIAH PETERSONCredential: L.M.T.
Location Address2390 NW THURMAN STPortland, OR 97210-2521
Mailing Address6530 Se 63rd AvePortland, OR 97206-7402 · (541) 543-3512
Sole ProprietorYes
Enumeration DateJune 28, 2016
NPI 1225489594 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 · 21438
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.
2390 NW THURMAN ST, Portland, OR 97210

Other Providers at the Same Location NPPES

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

Counselor (Professional)
2390 NW THURMAN ST
PORTLAND, OR 97210

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 Nathan Peterson's NPI number?

The NPI number for Nathan Peterson is 1225489594. It was assigned to this individual provider in the NPPES registry on June 28, 2016.

Where is Nathan Peterson located?

Nathan Peterson practices at 2390 NW Thurman St, Portland, OR 97210. The listed phone number is (541) 543-3512.

What is Nathan Peterson'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 Nathan Peterson was last updated on June 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.