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

Individual provider Massage Therapist · NPI 1194510958

Jaedon Churchill Dicks, LMT is a Massage Therapist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

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

7318 N Leavitt Ave
Portland, OR 97203-4840
Phone: (503) 567-5880
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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 28873 (OR)

Record details

NPI number1194510958
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedApril 11, 2025
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

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