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

Charles Nicholas Portlock, LMT

Individual provider Massage Therapist · NPI 1306717939

Charles Nicholas Portlock, LMT is a Massage Therapist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2025
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

2627 NE Martin Luther King Jr Blvd
Portland, OR 97212-3758
Phone: (503) 493-9398
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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 LMT26373 (OR)

Record details

NPI number1306717939
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials LMT
Sole proprietorYes
NPI enumeratedSeptember 16, 2025
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

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