Active NPIIndividual providerSole proprietor

Mr. Jered Alrick, LMT

Specialist in Portland, Oregon

NPI Number1083158539
Practice location
3150 SE Belmont St, Portland, OR 97214-4029
Fax
—
Last updated
March 21, 2022

Mr. Jered Alrick, LMT is a Specialist based in Portland, OR. Mr. Jered Alrick, LMT holds the professional credentials of LMT. The NPI number for Mr. Jered Alrick, LMT is 1083158539 and holds license No. 22449 (OR). The current practice location address is 3150 SE Belmont St, Portland, OR 97214-4029 and the office can be reached by phone at 503-389-5545. The NPI was assigned on December 16, 2016 and the record was last updated in NPPES on March 21, 2022.

●Provider Profile Details

NPI Number
1083158539
Provider Name
Jered Alrick
Credential
LMT
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Enumeration Date
December 16, 2016
Last Update Date
March 21, 2022
Certification Date
March 20, 2022
NPI Status
Active

◉Business Practice Location Address

Address
3150 SE Belmont St
Portland, OR 97214-4029
State
Oregon
ZIP
97214-4029
Country
US
Phone Number
503-389-5545

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✉Business Mailing Address

Address
1170 S Water St
Silverton, OR 97381-2442
City
Silverton
State
OR
ZIP
97381-2442
Phone Number
541-740-1817

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Massage Therapist225700000XNo22449OR
Specialist174400000XYes22449OR

#Other Provider Identifiers

No legacy or other 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 Mr. Jered Alrick, LMT?

The NPI number of Mr. Jered Alrick, LMT is 1083158539. It was assigned on December 16, 2016 and is currently active in the NPPES registry.

What is the specialty of Mr. Jered Alrick, LMT?

Mr. Jered Alrick, LMT is registered under the primary taxonomy Specialist (code 174400000X) and holds license No. 22449 (OR).

Where does Mr. Jered Alrick, LMT practice?

The practice location is 3150 SE Belmont St, Portland, OR 97214-4029. The office can be reached at 503-389-5545 (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 1083158539 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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