Individual provider · Type 1 NPI

Luise Willson, CMT, NCMT, LMT

Massage Therapist · Portland, OR

NPI number 1063790368 Active

Practice location

10332 NE Oregon St, #12
Portland, OR 97220

Call (720) 877-6926 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X1362 (CO)
Massage Therapist Primary 225700000X18322 (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 1063790368

Luise Willson, CMT, NCMT, LMT's National Provider Identifier is 1063790368, issued on Aug 3, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Nov 9, 2012.