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

Ethan Jeffries, LMT

Individual provider Massage Therapist · NPI 1699301119

Ethan Jeffries, LMT is a Massage Therapist in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2020.

Licensed in
OR
In the registry since
2020
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

4253 SE 182nd Ave
Gresham, OR 97030-5083
Phone: (503) 661-5090
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 25719 (OR)

Record details

NPI number1699301119
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedMarch 16, 2020
Last updated in NPPESMarch 16, 2020
Certification dateMarch 16, 2020
Mailing address892 E Historic Columbia River Hwy, Troutdale, OR 97060-2166

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