NPI 1407486624 · live from the CMS NPI Registry
Summer Dawn Adhara, LMT, CA, CMT
Massage Therapist in Portland, OR. National Provider Identifier 1407486624, active.
NPI record
| NPI | 1407486624 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 511 Sw 10th Ave Ste 1001, Portland, OR 97205 |
| Practice phone | 503-756-2743 |
| Enumerated | January 16, 2020 |
| Last updated | January 16, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 17494 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.