NPI 1548791213 · live from the CMS NPI Registry
Adeline Andriesian, LMT, RN
Massage Therapist in Portland, OR. National Provider Identifier 1548791213, active.
NPI record
| NPI | 1548791213 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 3543 Ne Broadway St, Portland, OR 97232 |
| Practice phone | 971-351-2270 |
| Enumerated | March 24, 2017 |
| Last updated | November 29, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 201700676RN (OR) |
| Massage Therapist primary | 225700000X | 26612 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.