Individual provider · Type 1 NPI

Miwa Andrina Nishi, LMT

Massage Therapist · Portland, OR

NPI number 1073267464 Active

Practice location

1117 SE 122nd Ave Unit 1
Portland, OR 97233-1160

Call (503) 946-8633 Map

Mailing address

9850 SE Harold St
Portland, OR 97266-3735

Other practice locations

  • 620 SE Oak St Ste F, Hillsboro, OR 97123-4160 · (503) 336-0912

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X5208 (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 1073267464

Miwa Andrina Nishi, LMT's National Provider Identifier is 1073267464, issued on Feb 5, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Feb 5, 2022.