DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES NICHOLAS PORTLOCK, LMT

Active Sole Proprietor

CHARLES NICHOLAS PORTLOCK, LMT is a Massage Therapist healthcare provider located in PORTLAND, Oregon. NPI 1306717939 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · PORTLAND, OR

Registration Details

NPI Number
1306717939
Provider Type
Individual
Gender
Unknown
NPI Issued
Sep 16, 2025 (0.93357324375121 yrs)
Last Updated
Sep 16, 2025
License
LMT26373 (OR)
Sole Proprietor
Yes

Practice Information

Address
2627 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR, 972123758
Browse OR providers · Browse ZIP 97212
Phone
5034939398
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in PORTLAND, OR

Name Credential NPI
DR. TIMOTHY GENE IRVING DC, LMT 1689655458
MRS. LEAH JOY BOWDER 1275508780
JOANNA L MCCLISH ATC, LMT 1285690396
MR. PABLO CESAR COHEN LMT 1225088263
DIANNE L PERNETTI LMT 1639129315
MR. MICHAEL ALAN BECKLUND LMT 1083667760
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.