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

Mr. Clint Douglas Deadmond, LMT

Individual provider Massage Therapist · NPI 1306306113

Mr. Clint Douglas Deadmond, LMT is a Massage Therapist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2019.

Licensed in
OR
In the registry since
2019
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

4515 SW Corbett Ave Ste 102
Portland, OR 97239-4289
Phone: (503) 224-5464
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 24121 (OR)

Record details

NPI number1306306113
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESMarch 20, 2019
Mailing address4515 Sw Corbett Ave Ste 102, Portland, OR 97239-4289

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