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

Mr. Caleb Bruce Wilson, LMT

Individual provider Massage Therapist · NPI 1093592875

Mr. Caleb Bruce Wilson, LMT is a Massage Therapist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2023
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

2100 NE Broadway St Ste 125
Portland, OR 97232-1500
Phone: (503) 477-8222
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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 26664 (OR)

Record details

NPI number1093592875
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedSeptember 13, 2023
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023

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