Individual provider · Type 1 NPI

Kenneth Malam, LMT

Massage Therapist · Portland, OR

NPI number 1245126952 Active

Practice location

5200 S Macadam Ave
Portland, OR 97239-6103

Call (503) 206-0300 Map

Mailing address

4111 SE Raymond St
Portland, OR 97202-4060

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X29062 (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 1245126952

Kenneth Malam, LMT's National Provider Identifier is 1245126952, issued on Jun 17, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jun 17, 2025.