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

Jennifer Marie Boom, LMT

Individual provider Massage Therapist · NPI 1164547634

Jennifer Marie Boom, LMT is a Massage Therapist in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
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

24850 SE Stark St Ste 200
Gresham, OR 97030-8316
Phone: (503) 310-2622
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 7615 (OR)

Record details

NPI number1164547634
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorNo
NPI enumeratedMarch 21, 2007
Last updated in NPPESNovember 9, 2016

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