NPI 1750460184 · live from the CMS NPI Registry
Darby Elizabeth Anderson, LMT
Massage Therapist in Portland, OR. National Provider Identifier 1750460184, active.
NPI record
| NPI | 1750460184 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 1330 Se 39th Ave, Portland, OR 97214 |
| Practice phone | 503-232-1200 |
| Mailing address | 5735 Ne 31st Ave, Portland, OR 97211 |
| Enumerated | November 5, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 8255 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.