DEREK MARK THOMPSON LMT
NPI 1699511618
Massage Therapist in Portland, OR
- Individual
- Male
- Massage Therapist
About DEREK THOMPSON
This page provides the complete NPI Profile along with additional information for Derek Thompson, a provider established in Portland, Oregon with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1699511618 assigned on July 2024. The practitioner's primary taxonomy code is 225700000X with license number LMT-26351 (OR). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1699511618 Verify this NPI
- Provider Name
- DEREK MARK THOMPSON LMT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1939 NE BROADWAY ST STE C PORTLAND, OR 97232
- Location Phone
- (503) 899-3695
- Mailing Address
- 14885 THAYER RD OREGON CITY, OR 97045
- Mailing Phone
- (503) 899-3695
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-09-2024
- Last Update Date
- 07-09-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- LMT-26351
- License State
- OR
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699511618, enumerated as an "individual" on July 09, 2024.
The provider is located at 1939 NE BROADWAY ST STE C PORTLAND, OR 97232 and the phone number is (503) 899-3695.
Massage Therapist with taxonomy code 225700000X.
