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

Caroline Dejen Blake, LMT

Individual provider Massage Therapist · NPI 1023385713

Caroline Dejen Blake, LMT is a Massage Therapist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2011
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

1928 NE 40th Ave
Portland, OR 97212-5310
Phone: (503) 287-2787
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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 16590 (OR)

Record details

NPI number1023385713
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedNovember 22, 2011
Last updated in NPPESNovember 22, 2011

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