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KYZEN PEMBERTON LMT
NPI 1790516805
Massage Therapist in Portland, OR

Active since August 10, 2024
2305 SE 50TH AVE STE 200, PORTLAND, OR 97215(971) 222-4810 Get Directions Write a Review

NPPES record last updated: August 10, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kyzen Pemberton Lmt NPPES

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

KYZEN PEMBERTON LMT (NPI 1790516805) is an individual massage therapist in Portland, Oregon, licensed in Oregon (28441) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1790516805
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKYZEN PEMBERTONCredential: LMT
Location Address2305 SE 50TH AVE STE 200Portland, OR 97215-3853
Mailing Address4140 Se 37th Ave Apt 2Portland, OR 97202-3272 · (971) 222-4810
Phone(971) 222-4810
Sole ProprietorYes
Enumeration DateAugust 10, 2024
NPPES CertifiedAugust 10, 2024
✔ NPI 1790516805 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 · 28441
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.
2305 SE 50TH AVE STE 200, Portland, OR 97215
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Other Providers at the Same Location NPPES 8

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

REBEKKA COLE LMT
Massage Therapist
2305 SE 50TH AVE STE 200
PORTLAND, OR 97215
Multnomah County (971) 407-3428
DR. DANIEL DOUGLAS MILLIGAN ND
Naturopath
2305 SE 50TH AVE STE 200
PORTLAND, OR 97215
Multnomah County (971) 228-2228
JESSICA ALICE DUNCAN LMT
Massage Therapist
2305 SE 50TH AVE STE 200
PORTLAND, OR 97215
Multnomah County (971) 407-3428
DR. JOSHUA CALEB CANTER ND, LAC
Naturopath
2305 SE 50TH AVE STE 200
PORTLAND, OR 97215
Multnomah County (503) 765-5711
CANTER NATUROPATHIC, LLC
Naturopath
2305 SE 50TH AVE STE 200
PORTLAND, OR 97215
Multnomah County (503) 765-5711
KATE SAUL LAC
Acupuncturist
2305 SE 50TH AVE STE 200
PORTLAND, OR 97215
Multnomah County (610) 984-2210
MRS. KATHRYN RUTH SMITH N.D.
Naturopath
2305 SE 50TH AVE STE 200
PORTLAND, OR 97215
Multnomah County (503) 837-3538
PORTLAND PEDIATRIC ACUPUNCTURE
Clinic/Center
2305 SE 50TH AVE STE 200
PORTLAND, OR 97215
Multnomah County (503) 946-8605

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 Kyzen Pemberton's NPI number?

The NPI number for Kyzen Pemberton is 1790516805. It was assigned to this individual provider in the NPPES registry on August 10, 2024.

Where is Kyzen Pemberton located?

Kyzen Pemberton practices at 2305 SE 50th Ave Ste 200, Portland, OR 97215. The listed phone number is (971) 222-4810.

What is Kyzen Pemberton'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 Kyzen Pemberton was last updated on August 10, 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.