Eden D Liedkie

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

LMT19564 Issued in OR

Practice address

710 NW Naito Pkwy Apt C4
Portland, OR 97209-3723

Phone

(360) 213-9126

NPI assigned

Jan 23, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1336951540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 NW NAITO PKWY APT C4",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093723",
            "telephone_number": "360-213-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 NW NAITO PKWY APT C4",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093723",
            "telephone_number": "360-213-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEDKIE",
        "first_name": "EDEN",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60530952",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "LMT19564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Ankeny Liebo
• Barbara Joan Liebowitz, MS.CCC-SLP
• Brian Scott Liebreich, MD
• Kara Lynn Liechty, CNS-PP
• Mary R Liedel, CNM
• Timothy King Liem, MD
• Clifford David Lien, LDO
• Susan Lien, NP
• Erica Johanna Liepelt, OTR, CHT
• Madison Liesinger

• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.