NPI 1013614197

Jittra Boonnim, LMT

Practitioner Massage Therapist Tigard, OR

Practice location

Address: 9600 SW Oak St STE 410, Tigard, OR 97223-6581
Phone: (503) 308-8676
Mailing address: 1930 S River Dr Unit 306, Portland, OR 97201-8054

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 27324 (OR)

Other Massage Therapist providers in Oregon →

Registry record

NPI: 1013614197
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Feb 2023
Record last updated: 2 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.