NPI 1528622347 · live from the CMS NPI Registry
Alyssa Ackerman
Massage Therapist in Portland, OR. National Provider Identifier 1528622347, active.
NPI record
| NPI | 1528622347 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 1016 Se 12th Ave, Portland, OR 97214 |
| Practice phone | 503-482-9253 |
| Mailing address | 15602 Se Madison Ct, Portland, OR 97233 |
| Enumerated | April 26, 2019 |
| Last updated | April 26, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 25025 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.