NPI 1134529696 · live from the CMS NPI Registry
Mina T Andreas, L.M.T.
Massage Therapist in Portland, OR. National Provider Identifier 1134529696, active.
NPI record
| NPI | 1134529696 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 2188 Sw Park Pl, Portland, OR 97205 |
| Practice phone | 503-568-1390 |
| Enumerated | September 2, 2014 |
| Last updated | September 2, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 19611 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.