MR. CLINT DOUGLAS DEADMOND LMT
NPI 1306306113
Massage Therapist in Portland, OR

Q: What is Clint Deadmond's NPI number?

The NPI number for Clint Deadmond is 1306306113. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Q: What is Clint Deadmond's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Clint Deadmond was last updated on March 20, 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.

Active since March 20, 2019

4515 SW CORBETT AVE STE 102, PORTLAND, OR 97239(503) 224-5464 Get Directions Write a Review

NPPES record last updated: March 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Clint Douglas Deadmond Lmt NPPES

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

MR. CLINT DOUGLAS DEADMOND LMT (NPI 1306306113) is an individual massage therapist in Portland, Oregon, licensed in Oregon (24121) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1306306113

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameMR. CLINT DOUGLAS DEADMONDCredential: LMT

Location Address4515 SW CORBETT AVE STE 102Portland, OR 97239-4289

Mailing Address4515 Sw Corbett Ave Ste 102Portland, OR 97239-4289 · (503) 224-5464

Phone(503) 224-5464

Sole ProprietorNo

Enumeration DateMarch 20, 2019

✔ NPI 1306306113 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 · 24121

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.

4515 SW CORBETT AVE STE 102, Portland, OR 97239

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Other Providers at the Same Location NPPES 2

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

DAVID JURATOVAC

Chiropractor

4515 SW CORBETT AVE STE 102
PORTLAND, OR 97239

Multnomah County (503) 224-5464

DR. DAVID THOMAS JURATOVAC DC

Chiropractor

4515 SW CORBETT AVE STE 102
PORTLAND, OR 97239

Multnomah County (503) 224-5464

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 Clint Deadmond's NPI number?

The NPI number for Clint Deadmond is 1306306113. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Clint Deadmond located?

Clint Deadmond practices at 4515 SW Corbett Ave Ste 102, Portland, OR 97239. The listed phone number is (503) 224-5464.

What is Clint Deadmond'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 Clint Deadmond was last updated on March 20, 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.