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

Kyzen Pemberton, LMT

Individual provider Massage Therapist · NPI 1790516805

Kyzen Pemberton, LMT is a Massage Therapist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2024
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

2305 SE 50th Ave Ste 200
Portland, OR 97215-3853
Phone: (971) 222-4810
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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 28441 (OR)

Record details

NPI number1790516805
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedAugust 10, 2024
Last updated in NPPESAugust 10, 2024
Certification dateAugust 10, 2024

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