- Practice location
- 15280 NW Central Dr Ste 102, Portland, OR 97229-7807
- Phone
- 503-533-5614
- Fax
- —
- Last updated
- March 25, 2025
Brent Babauta is a Massage Therapist based in Portland, OR. Brent Babauta practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Brent Babauta is 1053113894 and holds a License No. 19062 (OR). The current practice location address for Brent Babauta is 15280 NW Central Dr Ste 102, Portland, OR 97229-7807 and can be reached out via phone at 503-533-5614.
Provider Profile Details
- NPI Number
- 1053113894
- Provider Name
- Brent Babauta
- Credential
- LMT
- Provider Entity Type
- Individual
- Address
- 15280 NW Central Dr Ste 102, Portland, OR 97229-7807
- Phone Number
- 503-533-5614
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 25, 2025
- Last Update Date
- March 25, 2025
- Certification Date
- March 25, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15280 NW Central Dr Ste 102
Portland, OR 97229-7807 - City
- Portland
- State
- Oregon
- Zip
- 97229-7807
- Phone Number
- 503-533-5614
Provider Business Mailing Address Details
- Address
- 20647 NW Sedona Ln
Beaverton, OR 97006-2037 - City
- Beaverton
- State
- OR
- Zip
- 97006-2037
License Information
- License Number
- 19062
- 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 Brent Babauta, LMT?
The NPI number of Brent Babauta, LMT is 1053113894. It was assigned on March 25, 2025 and is currently active in the NPPES registry.
What is the specialty of Brent Babauta, LMT?
Brent Babauta, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in OR under license number 19062.
Where does Brent Babauta, LMT practice?
The practice location is 15280 NW Central Dr Ste 102, Portland, OR 97229-7807. The office can be reached at 503-533-5614 (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 1053113894 directly on the NPPES registry website.