Individual provider · Type 1 NPI

George Miyake Jr., L.M.T.

Massage Therapist · Portland, OR

NPI number 1083841613 Active

Practice location

2456 NW Northrup St, Suite 1-A
Portland, OR 97210-3253

Call (503) 223-6414 Map

Fax (503) 243-6632

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X15016 (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 1083841613

George Miyake Jr., L.M.T.'s National Provider Identifier is 1083841613, issued on Jun 22, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jun 22, 2009.