Individual provider · Type 1 NPI

Ladeene M. Hagner, LMT

Massage Therapist · Portland, OR

NPI number 1154864718 Active

Practice location

4620 SW Coronado St
Portland, OR 97219-7322

Call (503) 820-1829 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X16975 (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 1154864718

Ladeene M. Hagner, LMT's National Provider Identifier is 1154864718, issued on Nov 29, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Nov 29, 2016.