Individual provider · Type 1 NPI

Amanda Gangstead

Massage Therapist · Portland, OR

NPI number 1043775190 Active

Practice location

13306 NW Cornell Rd Ste 207
Portland, OR 97229-5806

Call (541) 749-0818 Map

Mailing address

16312 SW Estuary Dr Apt 203
Beaverton, OR 97006-7936

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18143 (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 1043775190

Amanda Gangstead's National Provider Identifier is 1043775190, issued on Feb 3, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Feb 3, 2019.