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SAMUEL KIBANI
NPI 1770164030
Massage Therapist in Lake Oswego, OR

Active since April 19, 2021
3 MONROE PKWY STE U, LAKE OSWEGO, OR 97035(503) 386-5311 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samuel Kibani NPPES

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

SAMUEL KIBANI (NPI 1770164030) is an individual massage therapist in Lake Oswego, Oregon, licensed in Oregon (26152) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1770164030
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameSAMUEL KIBANI
Location Address3 MONROE PKWY STE ULake Oswego, OR 97035-8875
Mailing Address1546 Sw 172nd Ter Unit 401Beaverton, OR 97003-4256 · (423) 803-8877
Phone(503) 386-5311
Sole ProprietorYes
Enumeration DateApril 19, 2021
NPPES CertifiedApril 19, 2021
✔ NPI 1770164030 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 · 26152
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.
3 MONROE PKWY STE U, Lake Oswego, OR 97035
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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.

JESSICA NICOLE BRIANZA LMT
Massage Therapist
3 MONROE PKWY STE U
LAKE OSWEGO, OR 97035
Clackamas County (503) 387-3205
KIMBERLEE HEAPS LMT
Massage Therapist
3 MONROE PKWY STE U
LAKE OSWEGO, OR 97035
Clackamas County (503) 387-3205
MISS STEPHANIE KIRSTEN O'DONNELL-PETERS
Massage Therapist
3 MONROE PKWY STE U
LAKE OSWEGO, OR 97035
Clackamas County (541) 979-0315
CYNDEE DELAROCHA MASSAGE THERAPIST
Massage Therapist
3 MONROE PKWY STE U
LAKE OSWEGO, OR 97035
Clackamas County (503) 387-3205
MRS. STEFANIE GORDON BEDSOLE LMT
Massage Therapist
3 MONROE PKWY STE U
LAKE OSWEGO, OR 97035
Clackamas County (503) 387-3205
BROOKS AUTUMN GEORGE LMT
Massage Therapist
3 MONROE PKWY STE U
LAKE OSWEGO, OR 97035
Clackamas County (503) 387-3205
MURIEL CAPDEPON LMT
Massage Therapist
3 MONROE PKWY STE U
LAKE OSWEGO, OR 97035
Clackamas County (503) 386-5351
SHYLO JOHNSON LMT
Massage Therapist
3 MONROE PKWY STE U
LAKE OSWEGO, OR 97035
Clackamas County (503) 387-3205

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 Kibani's NPI number?

The NPI number for Samuel Kibani is 1770164030. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Where is Samuel Kibani located?

Samuel Kibani practices at 3 Monroe Pkwy Ste U, Lake Oswego, OR 97035. The listed phone number is (503) 386-5311.

What is Samuel Kibani'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 Kibani was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.