MARK MASON RETZLAFF LMT
NPI 1952695959
Massage Therapist in Portland, OR

Q: What is Mark Retzlaff's NPI number?

The NPI number for Mark Retzlaff is 1952695959. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Q: What is Mark Retzlaff's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Retzlaff was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 07, 2011

11220 SE STARK ST STE 6, PORTLAND, OR 97216(541) 221-3084 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 23, 2017 (2 updates tracked since 2017).

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About Mark Mason Retzlaff Lmt NPPES

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

MARK MASON RETZLAFF LMT (NPI 1952695959) is an individual massage therapist in Portland, Oregon, licensed in Oregon (18181) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1952695959

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameMARK MASON RETZLAFFCredential: LMT

Location Address11220 SE STARK ST STE 6Portland, OR 97216-3384

Mailing Address11912 Se Schiller St Unit APortland, OR 97266-3269 · (541) 221-3084

Phone(541) 221-3084

Sole ProprietorNo

Enumeration DateJune 7, 2011

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1952695959 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 · 18181

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.

11220 SE STARK ST STE 6, Portland, OR 97216

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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 Mark Retzlaff's NPI number?

The NPI number for Mark Retzlaff is 1952695959. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Where is Mark Retzlaff located?

Mark Retzlaff practices at 11220 SE Stark St Ste 6, Portland, OR 97216. The listed phone number is (541) 221-3084.

What is Mark Retzlaff'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 Mark Retzlaff was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.