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ETHAN LIVELY
NPI 1841908001
Massage Therapist in Portland, OR

Active since November 07, 2022
2149 NE BROADWAY ST, PORTLAND, OR 97232(503) 281-0278 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ethan Lively NPPES

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

ETHAN LIVELY (NPI 1841908001) is an individual massage therapist in Portland, Oregon, licensed in Oregon (27378) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1841908001
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameETHAN LIVELY
Location Address2149 NE BROADWAY STPortland, OR 97232-1580
Mailing Address18699 Ne Marine Dr Slip C8Portland, OR 97230-7359 · (859) 802-8089
Phone(503) 281-0278
Sole ProprietorNo
Enumeration DateNovember 7, 2022
NPPES CertifiedNovember 7, 2022
✔ NPI 1841908001 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 · 27378
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.
2149 NE BROADWAY ST, Portland, OR 97232
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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.

PHILIP DOUGLAS STORMER
Massage Therapist
2149 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 281-0278
INDIA A HAMBURG LMT
Massage Therapist
2149 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 281-0278
GARETH THOMAS SICK
Massage Therapist
2149 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 281-0278
ELIZABETH MICHELLE STEINER
Massage Therapist
2149 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 281-0278
ZAMA MASSAGE
Massage Therapist
2149 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 281-0278
GRETCHEN M IHMS
Massage Therapist
2149 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 281-0278
DANIEL WASGATT
Massage Therapist
2149 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 281-0278
REBECCA ALICE HENDERSON
Massage Therapist
2149 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 281-0278

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 Ethan Lively's NPI number?

The NPI number for Ethan Lively is 1841908001. It was assigned to this individual provider in the NPPES registry on November 7, 2022.

Where is Ethan Lively located?

Ethan Lively practices at 2149 NE Broadway St, Portland, OR 97232. The listed phone number is (503) 281-0278.

What is Ethan Lively'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 Ethan Lively was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.