KEVIN MOORE I LMT
NPI 1720114044
Massage Therapist in Portland, OR

Active since February 23, 2007
2617 NW THURMAN ST, SUITE 3, PORTLAND, OR 97210(503) 224-4599 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Moore I Lmt NPPES

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

KEVIN MOORE I LMT (NPI 1720114044) is an individual massage therapist in Portland, Oregon, licensed in Oregon (7647) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1720114044
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameKEVIN MOORE ICredential: LMT
Location Address2617 NW THURMAN ST, SUITE 3Portland, OR 97210-2202
Mailing Address2617 Nw Thurman St, Suite 3Portland, OR 97210-2202 · (503) 224-4599
Sole ProprietorYes
Enumeration DateFebruary 23, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1720114044 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 · 7647
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.
2617 NW THURMAN ST, Portland, OR 97210

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 Kevin Moore's NPI number?

The NPI number for Kevin Moore is 1720114044. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Kevin Moore located?

Kevin Moore practices at 2617 NW Thurman St Suite 3, Portland, OR 97210. The listed phone number is (503) 224-4599.

What is Kevin Moore'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 Kevin Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.