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

Individual provider Massage Therapist · NPI 1831497569

David C Derosia, LMT is a Massage Therapist in Portland, Oregon. Practices as a sole proprietor and works from 2 locations. 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

2143 NE Broadway St Ste 1
Portland, OR 97232-1512
Phone: (971) 303-8367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2304 E Burnside St Ste 1, Portland, OR 97214-1677 — (971) 303-8367

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 16541 (OR)

Record details

NPI number1831497569
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedMarch 3, 2011
Last updated in NPPESApril 7, 2021
Certification dateApril 7, 2021

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