Individual provider · Type 1 NPI
Neifa Dolores Alonso, LMT
Massage Therapist · Portland, OR
NPI number
1104401421
Active
Practice location
12741 NE Halsey St
Portland, OR 97230-2343
Fax (503) 257-1452
Mailing address
PO Box 82
Newberg, OR 97132-0082
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | MA61137617 (WA) |
| Massage Therapist Primary | 225700000X | 24711 (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.
2 other providers at this address
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- Monicka April Koneski, LMT, RYTMassage Therapist Portland, OR NPI 1003188418
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About NPI 1104401421
Neifa Dolores Alonso, LMT's National Provider Identifier is 1104401421, issued on Mar 17, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Feb 2, 2022.