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

Jacqueline Marie, LMT

Individual provider Other Technician · NPI 1629311865

Jacqueline Marie, LMT is an Other Technician in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2013
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

5408 SE 111th Ave
Portland, OR 97266-4148
Phone: (503) 803-8352
Show map & directions

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

Specialties & licences

Other Technician (primary) Taxonomy 247200000X · Licence 3453 (OR)

Record details

NPI number1629311865
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedApril 5, 2013
Last updated in NPPESApril 5, 2013
Mailing address5408 Se 111th Ave, Portland, OR 97266-4148

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