Individual provider · Type 1 NPI

Derun Ren, LMT

Massage Therapist · Portland, OR

NPI number 1063859528 Active

Practice location

10626 NE Glisan St
Portland, OR 97220-4045

Call (503) 896-0660 Map

Fax (888) 362-8689

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X15138 (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 1063859528

Derun Ren, LMT's National Provider Identifier is 1063859528, issued on May 23, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on May 23, 2013.