Individual provider · Type 1 NPI
Skye Jordan
Massage Therapist · Portland, OR
NPI number
1013435304
Active
Practice location
3303 SW Bond Ave # CH4P
Portland, OR 97239-4501
Mailing address
5117 SE 30th Ave Apt 44
Portland, OR 97202-9502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 21839 (OR) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1013435304
Skye Jordan's National Provider Identifier is 1013435304, issued on Sep 6, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Sep 6, 2017.