Organization · Type 2 NPI

Pacific Wellness Group, LLC

Massage Therapist · Portland, OR

NPI number 1083005680 Active

Practice location

2161 NE Broadway St
Portland, OR 97232-1512

Mailing address

PO Box 14074
Portland, OR 97293-0074

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X17985 (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 1083005680

Pacific Wellness Group, LLC's National Provider Identifier is 1083005680, issued on Feb 18, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Feb 18, 2015.