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

Ethan Boswell, LMT

Individual provider Massage Therapist · NPI 1548072499

Ethan Boswell, LMT is a Massage Therapist in Beaverton, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

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

12750 SW 2nd St Ste 203
Beaverton, OR 97005-2779
Phone: (971) 228-1122
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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 28815 (OR)

Record details

NPI number1548072499
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedJanuary 27, 2025
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 26, 2025
Mailing address16593 Nw Oak Creek Dr, Beaverton, OR 97006-7479

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