Individual provider · Type 1 NPI

Michael Taira, L.M.T.

Massage Therapist · Portland, OR

NPI number 1033468178 Active

Practice location

419 NW 23rd Ave
Portland, OR 97210-3470

Call (415) 742-1069 Map

Mailing address

1237 NW 23rd Ave
Portland, OR 97210-2905

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18514 (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 1033468178

Michael Taira, L.M.T.'s National Provider Identifier is 1033468178, issued on Sep 5, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Sep 5, 2012.