NPI 1235641226 · live from the CMS NPI Registry
Chad Anderson, LMT
Massage Therapist in Portland, OR. National Provider Identifier 1235641226, active.
NPI record
| NPI | 1235641226 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 5010 Ne 33rd Ave, Portland, OR 97211 |
| Practice phone | 503-984-0552 |
| Mailing address | 1544 N Highland St, Portland, OR 97217 |
| Enumerated | October 30, 2017 |
| Last updated | October 30, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 10820 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.