Individual provider · Type 1 NPI

Iris M. Waterlin, LMT

Massage Therapist · Portland, OR

NPI number 1043750425 Active

Practice location

2609 N Willis Blvd
Portland, OR 97217-7039

Call (503) 740-6963 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X21190 (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 1043750425

Iris M. Waterlin, LMT's National Provider Identifier is 1043750425, issued on Mar 3, 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 29, 2023.