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

Samuel Kibani

Individual provider Massage Therapist · NPI 1770164030

Samuel Kibani is a Massage Therapist in Lake Oswego, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2021
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Practice location Address checks out

3 Monroe Pkwy Ste U
Lake Oswego, OR 97035-8875
Phone: (503) 386-5311
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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 26152 (OR)

Record details

NPI number1770164030
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 19, 2021
Last updated in NPPESApril 19, 2021
Certification dateApril 19, 2021
Mailing address1546 Sw 172nd Ter Unit 401, Beaverton, OR 97003-4256

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