Jennifer Boom, LMT
NPI 1164547634 · Massage Therapist · Gresham, OR
Jennifer Boom, LMT is a Massage Therapist provider in Gresham, OR (NPI 1164547634).
Provider details
- NPI number
- 1164547634
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- License
- 7615 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2016-11-09
Frequently asked questions
- What is Jennifer Boom's NPI number?
- Jennifer Boom's National Provider Identifier (NPI) is 1164547634, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Boom's specialty?
- Jennifer Boom is listed in the NPPES registry with a primary specialty of Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jennifer Boom located?
- Jennifer Boom's practice location on file with NPPES is 24850 Se Stark St, Gresham, OR 97030-8316.
- What is Jennifer Boom's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Boom is (503) 310-2622.
- Is Jennifer Boom's NPI active?
- Yes — Jennifer Boom's NPI (1164547634) is active in the NPPES registry as of the last update on 2016-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.