What is Lyle Dettloff's NPI number?

Lyle Dettloff's National Provider Identifier (NPI) is 1154985208, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Lyle Dettloff's specialty?

Lyle Dettloff is listed in the NPPES registry with a primary specialty of Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).

Where is Lyle Dettloff located?

Lyle Dettloff's practice location on file with NPPES is 728 Ne Dekum St, Portland, OR 97211-3628.

What is Lyle Dettloff's phone number?

The practice phone number listed in the NPPES registry for Lyle Dettloff is (503) 568-1906.

Is Lyle Dettloff's NPI active?

Yes — Lyle Dettloff's NPI (1154985208) is active in the NPPES registry as of the last update on 2019-04-24.

IndividualActive

Lyle Dettloff

NPI 1154985208 · Massage Therapist · Portland, OR

Lyle Dettloff is a Massage Therapist provider in Portland, OR (NPI 1154985208).

Provider details

NPI number: 1154985208
Entity type: Individual
Primary specialty: Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Massage TherapistPrimary225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Profile Score

Established profile(60/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
7 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

728 Ne Dekum St

Portland, OR 97211-3628

Phone: (503) 568-1906

Street-level locationGet directions

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Mailing address