Individual provider · Type 1 NPI

Andrea Olson I

Massage Therapist · Portland, OR

NPI number 1104276005 Active

Practice location

1222 SE Division St
Portland, OR 97202-1017

Call (503) 231-9879 Map

Mailing address

4738 SE Milwaukie Ave
Portland, OR 97202-4730

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X17038 (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 1104276005

Andrea Olson I's National Provider Identifier is 1104276005, issued on Jun 21, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jun 21, 2016.