TRAVIS JONQUIL NPI 1881025872

NPI Information

  • NPI: 1881025872
  • Provider Name: TRAVIS JONQUIL
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 4511 SE HAWTHORNE BLVD
    SUITE 204
    PORTLAND, OR
    ZIP 97215
  • Phone: (503) 809-1177

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NPI Details

Travis Jonquil is a massage therapist in Portland, OR. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Travis Jonquil NPI is 1881025872. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4511 SE HAWTHORNE BLVD
SUITE 204
PORTLAND, OR
ZIP 97215-170
Phone: (503) 809-1177

The enumeration date for this NPI number is 12/2/2013 and was last updated on 12/2/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist19517OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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