Active NPIIndividual providerSole proprietor

Jenna Blackhurst, LMT

Massage Therapist in Beaverton, Oregon

NPI Number1225564016
Practice location
11415 SW Scholls Ferry RD, Beaverton, OR 97008-7168
Fax
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Last updated
May 11, 2017

Jenna Blackhurst is a Massage Therapist based in Beaverton, OR. Jenna Blackhurst practices in Beaverton, OR and has the professional credentials of LMT. The NPI Number for Jenna Blackhurst is 1225564016 and holds a License No. 22171 (OR). The current practice location address for Jenna Blackhurst is 11415 SW Scholls Ferry RD, Beaverton, OR 97008-7168 and can be reached out via phone at 541-261-6482.

Provider Profile Details

NPI Number
1225564016
Provider Name
Jenna Blackhurst
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
11415 SW Scholls Ferry RD, Beaverton, OR 97008-7168
Phone Number
541-261-6482
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
May 11, 2017
Last Update Date
May 11, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
11415 SW Scholls Ferry RD
Beaverton, OR 97008-7168
State
Oregon
Zip
97008-7168
Phone Number
541-261-6482
Beaverton, OR 97008Get directions →

Provider Business Mailing Address Details

Address
10914 SW 111TH Ave
Tigard, OR 97223-3611
City
Tigard
State
OR
Zip
97223-3611
Phone Number
541-261-6482

License Information

License Number
22171
License State
OR
Taxonomy
Massage Therapist · 225700000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Jenna Blackhurst, LMT?

The NPI number of Jenna Blackhurst, LMT is 1225564016. It was assigned on May 11, 2017 and is currently active in the NPPES registry.

What is the specialty of Jenna Blackhurst, LMT?

Jenna Blackhurst, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in OR under license number 22171.

Where does Jenna Blackhurst, LMT practice?

The practice location is 11415 SW Scholls Ferry RD, Beaverton, OR 97008-7168. The office can be reached at 541-261-6482 (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 1225564016 directly on the NPPES registry website.

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