Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033685516 Individual Practitioner Female Practitioner

Soo Gyung Son , LMT, CLT

Massage Therapist • Beaverton, OR

Professional Overview & Biography Verified Profile Summary

Soo Son, LMT, CLT is a registered healthcare professional specializing in Massage Therapist in Beaverton, OR. Practice services are available at 10445 SW CANYON RD STE 111C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10445 Sw Canyon Rd Ste 111c

Beaverton, OR 970051938

Telephone 9712388756
Fax 8888607014
Associated Practice Facility / Clinic
🏢 Interconnect Bodyworks Llc Facility NPI 1790563393

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Beaverton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
247 Specialists

Practicing in Beaverton, OR (6180 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-05-13
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License OR 21407

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location May 13, 2024

Registered at 10445 SW CANYON RD STE 111C, BEAVERTON, OR 970051938 (Tel: 9712388756)

📍
Updated Business Mailing Address May 13, 2024

Registered at 10445 SW CANYON RD STE 111C, BEAVERTON, OR 970051938 (Tel: 9712388756)

📍
Updated Practice Location September 19, 2023

Registered at 9860 SW HALL BLVD STE A, PORTLAND, OR 972238896 (Tel: 9712388756)

📍
Updated Business Mailing Address September 19, 2023

Registered at 9860 SW HALL BLVD STE A, PORTLAND, OR 972238896 (Tel: 9712388756)

👤
Provider Name / Credentials Updated September 19, 2023

Recorded as SOO SON, LMT, CLT

NPI Profile Active October 22, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 22, 2018

Registered at 446 E MAIN ST STE A, HILLSBORO, OR 971234187 (Tel: 9712388756)

📍
Updated Business Mailing Address October 22, 2018

Registered at 446 E MAIN ST STE A, HILLSBORO, OR 971234187 (Tel: 9712388756)

👤
Provider Name / Credentials Updated October 22, 2018

Recorded as SOO SON, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2018

Massage Therapist (License #21407 in OR)

🟢
Initial NPI Registration & Enumeration October 22, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033685516
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 22, 2018
Last Update: May 13, 2024
Sole Proprietor: Yes

Mailing Address

10445 Sw Canyon Rd Ste 111c

Beaverton, OR 970051938

Phone: 9712388756

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.