Individual provider · Type 1 NPI

Andrew Allen Black, LMT

Massage Therapist · Lake Oswego, OR

NPI number 1063838720 Active

Practice location

14511 Westlake Dr Ste 100
Lake Oswego, OR 97035-7727

Call (503) 598-8099 Map

Fax (503) 598-3980

Mailing address

6145 SW Shannon Ct
Beaverton, OR 97008-4668

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X19070 (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.

2 other providers at this address

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About NPI 1063838720

Andrew Allen Black, LMT's National Provider Identifier is 1063838720, issued on Mar 5, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Oswego, OR. The record was last updated on Jan 16, 2019.