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NPI 1821244534 · live from the CMS NPI Registry

Brenda J Anderson, LMT

Massage Therapist in Portland, OR. National Provider Identifier 1821244534, active.

NPI record

NPI1821244534 Type 1 · individual
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location118 N Killingsworth St, Portland, OR 97217
Practice phone503-288-4454
EnumeratedAugust 13, 2008
Last updatedSeptember 29, 2008
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist primary225700000X14757 (OR)

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