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

Samuel Jackson Lisieski, LMT

Individual provider Massage Therapist · NPI 1063243582

Samuel Jackson Lisieski, LMT is a Massage Therapist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

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

7925 SE Stark St
Portland, OR 97215-2341
Phone: (503) 785-9914
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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 28282 (OR)

Record details

NPI number1063243582
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials LMT
Sole proprietorNo
NPI enumeratedAugust 8, 2024
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024

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