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SAMUEL EGAN BRODERSEN
NPI 1467221424
Massage Therapist in Portland, OR

Active since January 01, 2024
2149 NE BROADWAY ST, PORTLAND, OR 97232(503) 281-0278 Get Directions Write a Review

NPPES record last updated: January 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samuel Egan Brodersen NPPES

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

SAMUEL EGAN BRODERSEN (NPI 1467221424) is an individual massage therapist in Portland, Oregon, licensed in Oregon (26895) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1467221424
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameSAMUEL EGAN BRODERSEN
Location Address2149 NE BROADWAY STPortland, OR 97232-1580
Mailing Address7107 Ne 62nd StVancouver, WA 98661-1965 · (702) 788-1073
Phone(503) 281-0278
Sole ProprietorYes
Enumeration DateJanuary 1, 2024
NPPES CertifiedDecember 31, 2023
✔ NPI 1467221424 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 · 26895
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.
2149 NE BROADWAY ST, Portland, OR 97232
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Other Providers at the Same Location NPPES 20

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

PHILIP DOUGLAS STORMER
Massage Therapist
2149 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 281-0278
INDIA A HAMBURG LMT
Massage Therapist
2149 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 281-0278
GARETH THOMAS SICK
Massage Therapist
2149 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 281-0278
ELIZABETH MICHELLE STEINER
Massage Therapist
2149 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 281-0278
ZAMA MASSAGE
Massage Therapist
2149 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 281-0278
GRETCHEN M IHMS
Massage Therapist
2149 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 281-0278
DANIEL WASGATT
Massage Therapist
2149 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 281-0278
REBECCA ALICE HENDERSON
Massage Therapist
2149 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 281-0278

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 Samuel Brodersen's NPI number?

The NPI number for Samuel Brodersen is 1467221424. It was assigned to this individual provider in the NPPES registry on January 1, 2024.

Where is Samuel Brodersen located?

Samuel Brodersen practices at 2149 NE Broadway St, Portland, OR 97232. The listed phone number is (503) 281-0278.

What is Samuel Brodersen'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 Samuel Brodersen was last updated on January 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.