Individual provider · Type 1 NPI

Benjamin Carlos Martin, LMT

Massage Therapist · Portland, OR

NPI number 1174763692 Active

Practice location

5010 NE 33rd Ave
Portland, OR 97211-6946

Call (503) 238-1065 Map

Mailing address

2926 NE Flanders St
Portland, OR 97232-3259

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X1073 (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 1174763692

Benjamin Carlos Martin, LMT's National Provider Identifier is 1174763692, issued on Feb 24, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Feb 24, 2009.