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

Individual provider Massage Therapist · NPI 1720331366

Ausa Peacock, LMT is a Massage Therapist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2012
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

833 SE Main St # 423
Portland, OR 97214-3454
Phone: (503) 583-2872
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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 15125 (OR)

Record details

NPI number1720331366
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedOctober 19, 2012
Last updated in NPPESOctober 19, 2012

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