NPI 1053267294 · live from the CMS NPI Registry
Jego Miguel Lim Alfonso, LMT
Massage Therapist in Beaverton, OR. National Provider Identifier 1053267294, active.
NPI record
| NPI | 1053267294 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 6700 Sw 105th Ave Ste 215, Beaverton, OR 97008 |
| Practice phone | 503-461-3910 |
| Enumerated | March 9, 2026 |
| Last updated | March 9, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 27611 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.