Individual provider · Type 1 NPI

Lyle Rose

Massage Therapist · Portland, OR

NPI number 1801745906 Active

Practice location

2003 NE Holman St
Portland, OR 97211-5478

Call (504) 503-2975 Map

Mailing address

7409 N Knowles Ave
Portland, OR 97217-1231

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X29177 (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 1801745906

Lyle Rose's National Provider Identifier is 1801745906, issued on Jan 22, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jan 22, 2026.