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

Sadie Alexandra Kimball

Individual provider Massage Therapist · NPI 1417752031

Sadie Alexandra Kimball is a Massage Therapist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2025
Specialties on file
2

Practice location Address checks out

723 NW 18th Ave
Portland, OR 97209-2315
Phone: (503) 791-4648
Fax: (844) 833-5681
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 28659 (OR)
Doula Taxonomy 374J00000X

Record details

NPI number1417752031
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 17, 2025
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026

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