Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mind Body Spirit LLC

Organization Massage Therapist · NPI 1538477013

Mind Body Spirit LLC provides Massage Therapist services in Portland, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2010.

Licensed in
OR, WA
In the registry since
2010
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2705 E Burnside St Ste 104
Portland, OR 97214-1767 Not confirmed with CMS for 12 years — call before visiting
Phone: (503) 893-4022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 17071 (OR)
Massage Therapist Taxonomy 225700000X · Licence MA60040619 (WA)

Record details

NPI number1538477013
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Dare — Owner · (503) 893-4022
Other names Mind Body Spirit - A Holistic Community
NPI enumeratedSeptember 19, 2010
Last updated in NPPESApril 21, 2014
Mailing address2705 E Burnside St Ste 104, Portland, OR 97214-1767

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