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MR. AUTUMN KAY EMBERSONG LMT
NPI 1912608605
Massage Therapist in Portland, OR

Active since March 10, 2023
9045 SW BARBUR BLVD STE 109, PORTLAND, OR 97219(503) 662-8098 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Autumn Kay Embersong Lmt NPPES

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

MR. AUTUMN KAY EMBERSONG LMT (NPI 1912608605) is an individual massage therapist in Portland, Oregon, licensed in Oregon (26870) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1912608605
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMR. AUTUMN KAY EMBERSONGCredential: LMT
Location Address9045 SW BARBUR BLVD STE 109Portland, OR 97219-4027
Mailing Address9045 Sw Barbur Blvd Ste 109Portland, OR 97219-4027 · (503) 662-8098
Phone(503) 662-8098
Sole ProprietorYes
Enumeration DateMarch 10, 2023
NPPES CertifiedMarch 10, 2023
✔ NPI 1912608605 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 · 26870
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.
9045 SW BARBUR BLVD STE 109, Portland, OR 97219
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Other Names 1

Professional Name (2)Mr. Ambrose Embersong Lmt

Other Providers at the Same Location NPPES 2

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

WEST PORTLAND THERAPEUTIC MASSAGE LLC
Massage Therapist
9045 SW BARBUR BLVD STE 109
PORTLAND, OR 97219
Multnomah County (503) 662-8098
JESSICA LYNN JOHN LMT
Massage Therapist
9045 SW BARBUR BLVD STE 109
PORTLAND, OR 97219
Multnomah County (503) 662-8098

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 Autumn Embersong's NPI number?

The NPI number for Autumn Embersong is 1912608605. It was assigned to this individual provider in the NPPES registry on March 10, 2023. The provider is also known as Mr. Ambrose Embersong Lmt.

Where is Autumn Embersong located?

Autumn Embersong practices at 9045 SW Barbur Blvd Ste 109, Portland, OR 97219. The listed phone number is (503) 662-8098.

What is Autumn Embersong'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 Autumn Embersong was last updated on March 10, 2023. 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.