IndividualActive
Alexander Packham, LMT
NPI 1821767146 · Massage Therapist · Wilsonville, OR
Provider details
- NPI number
- 1821767146
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 20647 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
8695 Sw Jack Burns Blvd Ste E
Wilsonville, OR 97070-5797
Phone: (503) 427-4698
Street-level locationGet directions
Mailing address
21301 Main St Ne
Aurora, OR 97002-9243
Registry dates
- Enumerated
- 2021-09-09
- Last updated
- 2021-09-09
- Certified
- 2021-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.