Jessica Lynn John, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

26604 Issued in OR

Practice address

9045 SW Barbur Blvd Ste 109
Portland, OR 97219-4027

Phone

(503) 662-8098

NPI assigned

Nov 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• West Portland Therapeutic Massage LLC

  dba West PDX Massage

  • Massage Therapist
  • Portland, OR
  • NPI 1124745500
  NPD Authorized official

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1669137816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 S MACADAM AVE APT 10",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193000",
            "telephone_number": "503-320-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 SW BARBUR BLVD STE 109",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194027",
            "telephone_number": "503-662-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John S Lee MD, PC
• John T. Pham, DO, PC (Rose City Family Medicine, PC)
• John Worthington DDS, PC (Northeast Family Dental)
• Elizabeth Ellen John, L.M.T.
• Jeffrey John, PHARMACY TECHNICIAN
• Wendell E. John, BA QMHA
• Amanda Johner, MD
• Heidi Johng, MD
• Carolyn Marie Johns, MSN, ANP-BC
• Dandy G Johns, QMHA

• 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 Oct 26, 2022; 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.