JONATHAN HETRICK WOLF LMT
NPI 1295278729
Massage Therapist in Portland, OR

Active since December 01, 2016
5263 NE 16TH AVE, PORTLAND, OR 97211(503) 915-9835 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan Hetrick Wolf Lmt NPPES

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

JONATHAN HETRICK WOLF LMT (NPI 1295278729) is an individual massage therapist in Portland, Oregon, licensed in Oregon (20541) and active in the NPI registry since December 2016. He maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1295278729
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameJONATHAN HETRICK WOLFCredential: LMT
Location Address5263 NE 16TH AVEPortland, OR 97211-4423
Mailing Address5263 Ne 16th AvePortland, OR 97211-4423 · (503) 915-9835
Sole ProprietorYes
Enumeration DateDecember 1, 2016
Last NPPES UpdateMay 14, 2020
NPPES CertifiedMay 14, 2020
NPI 1295278729 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 · 20541
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.
5263 NE 16TH AVE, Portland, OR 97211

Secondary Practice Location 1

Location 1828 SE 34th AvePortland, OR 97214-4384 · Phone (503) 232-3560

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 Jonathan Wolf's NPI number?

The NPI number for Jonathan Wolf is 1295278729. It was assigned to this individual provider in the NPPES registry on December 1, 2016.

Where is Jonathan Wolf located?

Jonathan Wolf practices at 5263 NE 16th Ave, Portland, OR 97211. The listed phone number is (503) 915-9835.

What is Jonathan Wolf'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 Jonathan Wolf was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.