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NPI 1871193490 · live from the CMS NPI Registry

Heather R Anderson, LMT

Massage Therapist in Portland, OR. National Provider Identifier 1871193490, active.

NPI record

NPI1871193490 Type 1 · individual
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location1646 Se Tenino St, Portland, OR 97202
Practice phone707-757-4836
EnumeratedNovember 1, 2020
Last updatedNovember 1, 2020
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist primary225700000X25447 (OR)

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