Individual provider · Type 1 NPI

Jamin Douglas Rak, LMT

Massage Therapist · Portland, OR

NPI number 1205958329 Active

Practice location

10552 NE Glisan St
Portland, OR 97220-4043

Call (503) 314-8365 Map

Fax (503) 253-1434

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X6827 (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 1205958329

Jamin Douglas Rak, LMT's National Provider Identifier is 1205958329, issued on Apr 6, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Oct 31, 2026.