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

Individual provider Massage Therapist · NPI 1942894290

Ethan W Trevino, LMT is a Massage Therapist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2021
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

5253 NE Sandy Blvd
Portland, OR 97213-2562
Phone: (503) 893-5131
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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 26242 (OR)

Record details

NPI number1942894290
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedFebruary 26, 2021
Last updated in NPPESFebruary 26, 2021
Certification dateFebruary 26, 2021

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