Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mind Body Spirit LLC

Organization Massage Therapist · NPI 1538477013

Mind Body Spirit LLC is a Massage Therapist in Portland, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2010.

Licensed in
OR, WA
In the registry since
2010
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2705 E Burnside St Ste 104
Portland, OR 97214-1767
Phone: (503) 893-4022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 17071 (OR)
Massage Therapist Taxonomy 225700000X · Licence MA60040619 (WA)

Record details

NPI number1538477013
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Dare — Owner · (503) 893-4022
Other names Mind Body Spirit - A Holistic Community
NPI enumeratedSeptember 19, 2010
Last updated in NPPESApril 21, 2014
Mailing address2705 E Burnside St Ste 104, Portland, OR 97214-1767

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