Individual provider · Type 1 NPI

Diane R. Cooper, LMT

Massage Therapist · Portland, OR

NPI number 1184862310 Active

Practice location

0112 SW Hamilon St
Portland, OR 97239-4125

Call (971) 235-9970 Map

Mailing address

0112 SW Hamilton St
Portland, OR 97239-4125

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X10408 (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 1184862310

Diane R. Cooper, LMT's National Provider Identifier is 1184862310, issued on Jan 26, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jan 20, 2016.