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

Jacqueline Marie, LMT

Individual provider Other Technician · NPI 1629311865

Jacqueline Marie, LMT is an Other Technician in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2013
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

5408 SE 111th Ave
Portland, OR 97266-4148
Phone: (503) 803-8352
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X · Licence 3453 (OR)

Record details

NPI number1629311865
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedApril 5, 2013
Last updated in NPPESApril 5, 2013

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