Jittra Boonnim, LMT

NPI #1013614197 in Tigard, Oregon

Provider Information

NPI Number: 1013614197
Entity Type: Individual
Name: Jittra Boonnim, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 9, 2023
Last Updated: Jan 2, 2026

Practice Location

Address: 9600 SW OAK ST STE 410
City: Tigard
State: Oregon
ZIP Code: 97223-6581
Phone: (503) 308-8676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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