Organization · Type 2 NPI

Amy Oldendorf

Massage Therapist · Portland, OR

NPI number 1144770645 Active

Practice location

4927 NE 30th Ave
Portland, OR 97211-7007

Mailing address

4803 NE 30th Ave
Portland, OR 97211-7005

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X16138 (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 1144770645

Amy Oldendorf's National Provider Identifier is 1144770645, issued on Oct 7, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Oct 7, 2016.