- Practice location
- 9600 SW Oak St Ste 410, Tigard, OR 97223-6581
- Phone
- 503-308-8676
- Fax
- —
- Last updated
- January 2, 2026
Jittra Boonnim is a Massage Therapist based in Tigard, OR. Jittra Boonnim practices in Tigard, OR and has the professional credentials of LMT. The NPI Number for Jittra Boonnim is 1013614197 and holds a License No. 27324 (OR). The current practice location address for Jittra Boonnim is 9600 SW Oak St Ste 410, Tigard, OR 97223-6581 and can be reached out via phone at 503-308-8676.
Provider Profile Details
- NPI Number
- 1013614197
- Provider Name
- Jittra Boonnim
- Credential
- LMT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 9600 SW Oak St Ste 410, Tigard, OR 97223-6581
- Phone Number
- 503-308-8676
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 9, 2023
- Last Update Date
- January 2, 2026
- Certification Date
- January 2, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9600 SW Oak St Ste 410
Tigard, OR 97223-6581 - City
- Tigard
- State
- Oregon
- Zip
- 97223-6581
- Phone Number
- 503-308-8676
Provider Business Mailing Address Details
- Address
- 1930 S River Dr Unit 306
Portland, OR 97201-8054 - City
- Portland
- State
- OR
- Zip
- 97201-8054
- Phone Number
- 971-222-9600
License Information
- License Number
- 27324
- License State
- OR
- Taxonomy
- Massage Therapist · 225700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jittra Boonnim, LMT?
The NPI number of Jittra Boonnim, LMT is 1013614197. It was assigned on February 9, 2023 and is currently active in the NPPES registry.
What is the specialty of Jittra Boonnim, LMT?
Jittra Boonnim, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in OR under license number 27324.
Where does Jittra Boonnim, LMT practice?
The practice location is 9600 SW Oak St Ste 410, Tigard, OR 97223-6581. The office can be reached at 503-308-8676 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013614197 directly on the NPPES registry website.