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

Kelly Lynn Jordan, LMT

Individual provider Massage Therapist · NPI 1629663422

Kelly Lynn Jordan, LMT is a Massage Therapist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2021
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

2304 E Burnside St Ste 1
Portland, OR 97214-1677
Phone: (971) 716-2447
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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 25964 (OR)

Record details

NPI number1629663422
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedMarch 3, 2021
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021

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