Individual provider · Type 1 NPI

Edwin Jon Wood, LMT

Massage Therapist · Portland, OR

NPI number 1043660335 Active

Practice location

1939 NE Broadway St, Ste C
Portland, OR 97232-1583

Call (503) 757-3475 Map

Fax (503) 281-0008

Mailing address

1403 SE 37th Ave Apt 3
Portland, OR 97214-5166

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X10626 (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 1043660335

Edwin Jon Wood, LMT's National Provider Identifier is 1043660335, issued on Jun 16, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jun 16, 2016.