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

Individual provider Massage Therapist · NPI 1013614197

Jittra Boonnim, LMT is a Massage Therapist in Tigard, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2023
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

9600 SW Oak St Ste 410
Tigard, OR 97223-6581
Phone: (503) 308-8676
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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 27324 (OR)

Record details

NPI number1013614197
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedFebruary 9, 2023
Last updated in NPPESJanuary 2, 2026
Certification dateJanuary 2, 2026
Mailing address1930 S River Dr Unit 306, Portland, OR 97201-8054

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