Individual provider · Type 1 NPI

Meredith Anne Obenchain, LMT, DIPL. ABT

Massage Therapist · Portland, OR

NPI number 1063654804 Active

Practice location

8283 SW Barbur Blvd
Portland, OR 97219-2871

Mailing address

10956 SE Azar Dr
Happy Valley, OR 97086-7804

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X15668 (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 1063654804

Meredith Anne Obenchain, LMT, DIPL. ABT's National Provider Identifier is 1063654804, issued on Mar 25, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 25, 2009.