NPI 1104475805 · live from the CMS NPI Registry
Samantha Andrews
Massage Therapist in Portland, OR. National Provider Identifier 1104475805, active.
NPI record
| NPI | 1104475805 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 1940 Nw 24th Ave, Portland, OR 97210 |
| Practice phone | 503-303-8118 |
| Mailing address | 1616 Nw Everett St Apt 211, Portland, OR 97209 |
| Enumerated | September 5, 2019 |
| Last updated | July 25, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 27790 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.