NPI 1386924934 · live from the CMS NPI Registry
Advance Injury Care And Movement Therapy LLC
Massage Therapist in Portland, OR. National Provider Identifier 1386924934, active.
NPI record
| NPI | 1386924934 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 11507 Sw Shilo Ln, Ste E, Portland, OR 97225 |
| Practice phone | 503-939-2524 |
| Enumerated | August 26, 2011 |
| Last updated | August 26, 2011 |
| Authorized official | Richard Roskopf, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 9601 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.