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

Kevin Moore I, LMT

Individual provider Massage Therapist · NPI 1720114044

Kevin Moore I, LMT is a Massage Therapist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

2617 NW Thurman St Ste 3
Portland, OR 97210-2202
Phone: (503) 224-4599
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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 7647 (OR)

Record details

NPI number1720114044
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedFebruary 23, 2007
Last updated in NPPESJuly 8, 2007

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