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

Kevin Faris, LMT

Individual provider Specialist · NPI 1063884906

Kevin Faris, LMT is a Specialist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2015
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

7201 NE Glisan St Ste C
Portland, OR 97213-6369
Phone: (503) 544-0467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 21674 (OR)

Record details

NPI number1063884906
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedOctober 29, 2015
Last updated in NPPESOctober 29, 2015
Mailing address7201 Ne Glisan St, Suite C, Portland, OR 97213-6369

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