Individual provider · Type 1 NPI

Jonathan Davis Young

Massage Therapist · Portland, OR

NPI number 1073484283 Active

Practice location

1030 NW Marshall St
Portland, OR 97209-2988

Mailing address

11213 NE Russell St
Portland, OR 97220-1881

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X28814 (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 1073484283

Jonathan Davis Young's National Provider Identifier is 1073484283, issued on Sep 12, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Sep 12, 2025.