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

Mr. Peter D Black, LMT

Individual provider Massage Therapist · NPI 1740538628

Mr. Peter D Black, LMT is a Massage Therapist in Portland, Oregon. Practices as a sole proprietor. Licensed in Hawaii and Oregon.

Licensed in
HI, OR
In the registry since
2012
Specialties on file
2
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

2610 SE Clinton St Ste E
Portland, OR 97202-1273
Phone: (808) 280-6470
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 24898 (OR)
Massage Therapist Taxonomy 225700000X · Licence MAT 2885 (HI)

Record details

NPI number1740538628
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedAugust 26, 2012
Last updated in NPPESFebruary 12, 2025
Certification dateJanuary 17, 2025
Mailing address4725 Se Salmon St Unit A, Portland, OR 97215-2577

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