Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568270189 Individual Practitioner Male Practitioner

Alex Danjai Wyatt Garboden , LMT

Massage Therapist • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Alex Garboden, LMT is a registered healthcare professional specializing in Massage Therapist in Gresham, OR. Practice services are available at 102 NE LIBERTY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

102 Ne Liberty Ave

Gresham, OR 970307918

Telephone 5038831692

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Gresham, OR

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

Practicing in Gresham, 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: 2024-12-28
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License OR 28631

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

6 Historical Events
NPI Profile Active December 28, 2024

NPI status registered as active in NPPES database

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Updated Practice Location December 28, 2024

Registered at 102 NE LIBERTY AVE, GRESHAM, OR 970307918 (Tel: 5038831692)

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Updated Business Mailing Address December 28, 2024

Registered at 102 NE LIBERTY AVE, GRESHAM, OR 970307918 (Tel: 5038831692)

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Provider Name / Credentials Updated December 28, 2024

Recorded as ALEX GARBODEN, LMT

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2024

Massage Therapist (License #28631 in OR)

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Initial NPI Registration & Enumeration December 28, 2024

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: 1568270189
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2024
Last Update: December 28, 2024
Sole Proprietor: Yes

Mailing Address

102 Ne Liberty Ave

Gresham, OR 970307918

Phone: 5038831692

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.