Individual provider · Type 1 NPI

Samuel Whyte

Massage Therapist · Portland, OR

NPI number 1134716509 Active

Practice location

913 SW 16th Ave
Portland, OR 97205-1730

Call (503) 228-5000 Map

Mailing address

8845 SE 29th Ave
Milwaukie, OR 97222-6322

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X19971 (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 1134716509

Samuel Whyte's National Provider Identifier is 1134716509, issued on Dec 30, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Dec 30, 2020.