- Practice location
- 12750 SW 2ND St Ste 203, Beaverton, OR 97005-2779
- Phone
- 971-228-1122
- Fax
- —
- Last updated
- January 27, 2025
Ethan Boswell is a Massage Therapist based in Beaverton, OR. Ethan Boswell practices in Beaverton, OR and has the professional credentials of LMT. The NPI Number for Ethan Boswell is 1548072499 and holds a License No. 28815 (OR). The current practice location address for Ethan Boswell is 12750 SW 2ND St Ste 203, Beaverton, OR 97005-2779 and can be reached out via phone at 971-228-1122.
Provider Profile Details
- NPI Number
- 1548072499
- Provider Name
- Ethan Boswell
- Credential
- LMT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 12750 SW 2ND St Ste 203, Beaverton, OR 97005-2779
- Phone Number
- 971-228-1122
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 27, 2025
- Last Update Date
- January 27, 2025
- Certification Date
- January 26, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12750 SW 2ND St Ste 203
Beaverton, OR 97005-2779 - City
- Beaverton
- State
- Oregon
- Zip
- 97005-2779
- Phone Number
- 971-228-1122
Provider Business Mailing Address Details
- Address
- 16593 NW Oak Creek Dr
Beaverton, OR 97006-7479 - City
- Beaverton
- State
- OR
- Zip
- 97006-7479
- Phone Number
- 520-954-6193
License Information
- License Number
- 28815
- 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 Ethan Boswell, LMT?
The NPI number of Ethan Boswell, LMT is 1548072499. It was assigned on January 27, 2025 and is currently active in the NPPES registry.
What is the specialty of Ethan Boswell, LMT?
Ethan Boswell, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in OR under license number 28815.
Where does Ethan Boswell, LMT practice?
The practice location is 12750 SW 2ND St Ste 203, Beaverton, OR 97005-2779. The office can be reached at 971-228-1122 (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 1548072499 directly on the NPPES registry website.