Individual provider · Type 1 NPI

Cory Ray McVenes, LMT

Massage Therapist · Portland, OR

NPI number 1104572619 Active

Practice location

2306 NE Glisan St
Portland, OR 97232-2392

Call (503) 516-1020 Map

Mailing address

6336 NE Glisan St
Portland, OR 97213-5053

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X20666 (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 1104572619

Cory Ray McVenes, LMT's National Provider Identifier is 1104572619, issued on Feb 23, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Feb 23, 2022.