NPI 1932915519 · live from the CMS NPI Registry
Kidist Adane
Massage Therapist in Portland, OR. National Provider Identifier 1932915519, active.
NPI record
| NPI | 1932915519 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 8375 Sw Beaverton Hillsdale Hwy Ste 100, Portland, OR 97225 |
| Practice phone | 503-469-9818 |
| Mailing address | 14650 Nw Cornell Rd Apt 6, Portland, OR 97229 |
| Enumerated | December 9, 2024 |
| Last updated | December 9, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 27389 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.