Individual provider · Type 1 NPI

Sam Lane, LMT

Massage Therapist · Portland, OR

NPI number 1114413010 Active

Practice location

8835 SW Canyon Ln Ste 311
Portland, OR 97225-3453

Call (503) 931-9178 Map

Fax (503) 961-1178

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X23778 (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 1114413010

Sam Lane, LMT's National Provider Identifier is 1114413010, issued on Jul 3, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jan 21, 2025.