Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699301119 Individual Practitioner Male Practitioner

Ethan Jeffries , LMT

Massage Therapist • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Ethan Jeffries, LMT is a registered healthcare professional specializing in Massage Therapist in Gresham, OR. Practice services are available at 4253 SE 182ND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4253 Se 182nd Ave

Gresham, OR 970305083

Telephone 5036615090
Associated Practice Facility / Clinic
🏢 Whitaker Wellness Llc Facility NPI 1831641505

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: 2020-03-16
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License OR 25719

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Taralea Locke , LMT

Massage Therapist

NPI 1104149079

Licensed Massage Therapist

NPI 1154312213

Doctor of Chiropractic

NPI 1255880316

Doctor of Chiropractic

Rebecca Schrantz

Massage Therapist

NPI 1306334826
NPI 1467999581

Licensed Massage Therapist

Gabriela Morales

Massage Therapist

NPI 1649081829

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 16, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 16, 2020

Registered at 4253 SE 182ND AVE, GRESHAM, OR 970305083 (Tel: 5036615090)

📍
Updated Business Mailing Address March 16, 2020

Registered at 892 E HISTORIC COLUMBIA RIVER HWY, TROUTDALE, OR 970602166 (Tel: 3093709379)

👤
Provider Name / Credentials Updated March 16, 2020

Recorded as ETHAN JEFFRIES, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2020

Massage Therapist (License #25719 in OR)

🟢
Initial NPI Registration & Enumeration March 16, 2020

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: 1699301119
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2020
Last Update: March 16, 2020
Sole Proprietor: No

Mailing Address

892 E Historic Columbia River Hwy

Troutdale, OR 970602166

Phone: 3093709379

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.