NPI 1457660334 · live from the CMS NPI Registry
Ai Zen LLC
Massage Therapist in Portland, OR. National Provider Identifier 1457660334, active.
NPI record
| NPI | 1457660334 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 7689 Sw Capitol Hwy, Portland, OR 97219 |
| Practice phone | 503-791-2394 |
| Mailing address | 19000 Nw Evergreen Pkwy Apt 266, Hillsboro, OR 97124 |
| Enumerated | September 27, 2010 |
| Last updated | September 27, 2010 |
| Authorized official | Jordan Charters, Founder/Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | 16334 (OR) |
| Massage Therapist primary | 225700000X | 16178 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.