Wellformed AI

NPI 1760656359 · live from the CMS NPI Registry

Jami Marie Adcock, LMT

Massage Therapist in Portland, OR. National Provider Identifier 1760656359, active.

NPI record

NPI1760656359 Type 1 · individual
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location2161 Ne Broadway St, Portland, OR 97232
Practice phone503-331-1800
EnumeratedApril 15, 2008
Last updatedApril 15, 2008
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist primary225700000X10928 (OR)

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