Individual provider · Type 1 NPI
Kim Northcott Dewey
Massage Therapist · Lake Oswego, OR
NPI number
1114292927
Active
Practice location
15800 Boones Ferry Rd, Ste C203
Lake Oswego, OR 97035-3470
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | OR3371 (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.
Another provider at this address
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About NPI 1114292927
Kim Northcott Dewey's National Provider Identifier is 1114292927, issued on Mar 12, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Oswego, OR. The record was last updated on Mar 12, 2012.