Justin Clark, LMT
NPI 1013286863 · Massage Therapist · Portland, OR
Justin Clark, LMT is a Massage Therapist provider in Portland, OR (NPI 1013286863).
Provider details
- NPI number
- 1013286863
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- No
- License
- 18505 (OR)
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-12-23
- Last updated
- 2011-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.