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

Justin Clark, LMT

Individual provider Massage Therapist · NPI 1013286863

Justin Clark, LMT is a Massage Therapist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2011.

Licensed in
OR
In the registry since
2011
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

12923 NW Cornell Rd #201
Portland, OR 97229-5834
Phone: (503) 646-3393
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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 18505 (OR)

Record details

NPI number1013286863
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedDecember 23, 2011
Last updated in NPPESDecember 23, 2011

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