NPI 1144770645 · live from the CMS NPI Registry
Amy Oldendorf
Massage Therapist in Portland, OR. National Provider Identifier 1144770645, active.
NPI record
| NPI | 1144770645 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 4927 Ne 30th Ave, Portland, OR 97211 |
| Practice phone | 503-281-0681 |
| Mailing address | 4803 Ne 30th Ave, Portland, OR 97211 |
| Enumerated | October 7, 2016 |
| Last updated | October 7, 2016 |
| Authorized official | Amy Oldendorf, Massage Therapist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 16138 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.