Individual provider · Type 1 NPI

Desiree Fredenburg, LMT

Massage Therapist · Portland, OR

NPI number 1114231891 Active

Practice location

2627 NE Broadway St
Portland, OR 97232-1720

Call (503) 281-0278 Map

Mailing address

1515 SE 52nd Ave
Portland, OR 97215-3315

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X16509 (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.

7 other providers at this address

Other massage therapist providers in Portland

See all in Portland →

About NPI 1114231891

Desiree Fredenburg, LMT's National Provider Identifier is 1114231891, issued on Aug 4, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Aug 4, 2010.