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

Blake Holloway

Individual provider Massage Therapist · NPI 1083461115

Blake Holloway is a Massage Therapist in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

23500 SE Stark St
Gresham, OR 97030-2942
Phone: (503) 406-8846
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 24304 (OR)

Record details

NPI number1083461115
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 6, 2024
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026
Mailing address23500 Se Stark St, Gresham, OR 97030-2942

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