Individual provider · Type 1 NPI

Bonnie L. Fossek

Massage Therapist · Portland, OR

NPI number 1144843624 Active

Practice location

9046 SE Pine St
Portland, OR 97216-1565

Call (503) 313-9425 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XLMT-22202 (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 1144843624

Bonnie L. Fossek's National Provider Identifier is 1144843624, issued on May 19, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on May 19, 2020.