Wellformed AI

NPI 1669315909 · live from the CMS NPI Registry

Diana Isabel Alvarez Hernandez, LMT

Massage Therapist in Portland, OR. National Provider Identifier 1669315909, active.

NPI record

NPI1669315909 Type 1 · individual
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location3120 Se 50th Ave, Portland, OR 97206
Practice phone971-701-1159
Mailing address15520 Sw Hall Blvd, Tigard, OR 97224
EnumeratedApril 13, 2026
Last updatedApril 13, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist primary225700000X29585 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.