NPI 1083158539 · live from the CMS NPI Registry
Jered Alrick, Lmt
Specialist in Portland, OR. National Provider Identifier 1083158539, active.
NPI record
| NPI | 1083158539 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Specialist 174400000X |
| Practice location | 3150 Se Belmont St, Portland, OR 97214 |
| Practice phone | 503-389-5545 |
| Mailing address | 1170 S Water St, Silverton, OR 97381 |
| Enumerated | December 16, 2016 |
| Last updated | March 21, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | 22449 (OR) |
| Specialist primary | 174400000X | 22449 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.