JUSTIN WYCOFF LMT
NPI 1376993907
Massage Therapist in Portland, OR

Active since June 14, 2016
6030 SE DIVISION ST, PORTLAND, OR 97206(503) 772-1215 Get Directions Write a Review

NPPES record last updated: June 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justin Wycoff Lmt NPPES

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

JUSTIN WYCOFF LMT (NPI 1376993907) is an individual massage therapist in Portland, Oregon, licensed in Oregon (22208) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1376993907
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameJUSTIN WYCOFFCredential: LMT
Location Address6030 SE DIVISION STPortland, OR 97206-1346
Mailing Address711 Se 11th Ave, Apt 3Portland, OR 97214-2451 · (707) 321-8310
Sole ProprietorNo
Enumeration DateJune 14, 2016
NPI 1376993907 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 · 22208
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.
6030 SE DIVISION ST, Portland, OR 97206

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.

Massage Therapist
6030 SE DIVISION ST
PORTLAND, OR 97206
Massage Therapist
6030 SE DIVISION ST
PORTLAND, OR 97206
Acupuncturist
6030 SE DIVISION ST
PORTLAND, OR 97206
Massage Therapist
6030 SE DIVISION ST
PORTLAND, OR 97206
Massage Therapist
6030 SE DIVISION ST
PORTLAND, OR 97206
Specialist
6030 SE DIVISION ST
PORTLAND, OR 97206
Clinic/Center
6030 SE DIVISION ST
PORTLAND, OR 97206

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 Justin Wycoff's NPI number?

The NPI number for Justin Wycoff is 1376993907. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Where is Justin Wycoff located?

Justin Wycoff practices at 6030 SE Division St, Portland, OR 97206. The listed phone number is (503) 772-1215.

What is Justin Wycoff'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 Justin Wycoff was last updated on June 14, 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.