Individual provider · Type 1 NPI

Jittra Boonnim, LMT

Massage Therapist · Tigard, OR

NPI number 1013614197 Active

Practice location

9600 SW Oak St Ste 410
Tigard, OR 97223-6581

Call (503) 308-8676 Map

Mailing address

1930 S River Dr Unit 306
Portland, OR 97201-8054

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X27324 (OR)

Massage Therapist: 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.

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About NPI 1013614197

Jittra Boonnim, LMT's National Provider Identifier is 1013614197, issued on Feb 9, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tigard, OR. The record was last updated on Jan 2, 2026.