Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JITTRA BOONNIM, LMT
Active Sole ProprietorJITTRA BOONNIM, LMT is a Massage Therapist healthcare provider located in TIGARD, Oregon. NPI 1013614197 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · TIGARD, OR
Registration Details
- NPI Number
- 1013614197
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 9, 2023 (3.3238624628483 yrs)
- Last Updated
- Jan 2, 2026
- License
-
27324 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9600 SW OAK ST STE 410TIGARD, OR, 972236581Browse OR providers · Browse ZIP 97223
- Phone
- 5033088676
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in TIGARD, OR
| Name | Credential | NPI |
|---|---|---|
| MRS. ANGELA JEAN DAVIS | LMT | 1043345267 |
| MRS. JAMIE DAWN SHACKELFORD | LMT | 1689791394 |
| MS. LINDA LEE PHELAN | LMT | 1538387709 |
| MS. MARY M DALTON | MASSAGE THERAPY | 1659562247 |
| MR. BRIAN DARYL BUCKNER | L.M.T. | 1235319690 |
| BRENDA LEE STEBBEDS | LMT | 1194907857 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.