Individual provider · Type 1 NPI

Andrew Russell Van Der Werf, LMT

Massage Therapist · Portland, OR

NPI number 1023512233 Active

Practice location

2526 NE 15th Ave
Portland, OR 97212-4222

Call (503) 288-7668 Map

Mailing address

12600 SE Harold St
Portland, OR 97236-4225

Other practice locations

  • 2122 NW Quimby St, Portland, OR 97210-2622 · (503) 292-7668

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X23850 (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 1023512233

Andrew Russell Van Der Werf, LMT's National Provider Identifier is 1023512233, issued on Mar 21, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 21, 2018.