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DEREK MARK THOMPSON LMT
NPI 1699511618
Massage Therapist in Portland, OR

Active since July 09, 2024
1939 NE BROADWAY ST STE C, PORTLAND, OR 97232(503) 899-3695 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derek Mark Thompson Lmt NPPES

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

DEREK MARK THOMPSON LMT (NPI 1699511618) is an individual massage therapist in Portland, Oregon, licensed in Oregon (LMT-26351) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1699511618
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameDEREK MARK THOMPSONCredential: LMT
Location Address1939 NE BROADWAY ST STE CPortland, OR 97232-1584
Mailing Address14885 Thayer RdOregon City, OR 97045-9374 · (503) 899-3695
Phone(503) 899-3695
Sole ProprietorYes
Enumeration DateJuly 9, 2024
NPPES CertifiedJuly 9, 2024
✔ NPI 1699511618 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 · LMT-26351
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.
1939 NE BROADWAY ST STE C, Portland, OR 97232
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Other Providers at the Same Location NPPES

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

YOUR STORY MATTERS LLC
Counselor (Mental Health)
1939 NE BROADWAY ST STE C
PORTLAND, OR 97232
Multnomah County (503) 893-9084

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 Derek Thompson's NPI number?

The NPI number for Derek Thompson is 1699511618. It was assigned to this individual provider in the NPPES registry on July 9, 2024.

Where is Derek Thompson located?

Derek Thompson practices at 1939 NE Broadway St Ste C, Portland, OR 97232. The listed phone number is (503) 899-3695.

What is Derek Thompson'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 Derek Thompson was last updated on July 9, 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.