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

Brian Soderholm, LMT

Individual provider Mechanotherapist · NPI 1053683813

Brian Soderholm, LMT is a Mechanotherapist in Gresham, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2012
Specialties on file
2
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

22400 SE Stark St
Gresham, OR 97030-2656
Phone: (503) 491-5555
Fax: (503) 674-5005
Show map & directions

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

Specialties & licences

Mechanotherapist (primary) Taxonomy 172M00000X · Licence 18501 (OR)
Massage Therapist Taxonomy 225700000X · Licence 18501 (OR)

Record details

NPI number1053683813
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedFebruary 8, 2012
Last updated in NPPESFebruary 8, 2012
Mailing address3536 N Commercial Ave, Portland, OR 97227-1308

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