NPI 1457954802 · live from the CMS NPI Registry
Jarret Robert Addleman
Massage Therapist in Lake Oswego, OR. National Provider Identifier 1457954802, active.
NPI record
| NPI | 1457954802 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 4200 Mercantile Dr Ste 750, Lake Oswego, OR 97035 |
| Practice phone | 503-305-7752 |
| Enumerated | November 18, 2020 |
| Last updated | November 18, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.