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

Tyler Richard Rose, LMT

Individual provider Massage Therapist · NPI 1487202131

Tyler Richard Rose, LMT is a Massage Therapist in Clackamas, Oregon. Practices as a sole proprietor. Licensed in Oregon.

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

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Practice location Address checks out

11804 SE Sunnyside Rd
Clackamas, OR 97015-9308
Phone: (503) 454-0782
Fax: (866) 577-6285
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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 25286 (OR)

Record details

NPI number1487202131
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedAugust 27, 2019
Last updated in NPPESAugust 27, 2019

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