Individual provider · Type 1 NPI

Benjamin Lakin Koenigsberg, LMT

Massage Therapist · Portland, OR

NPI number 1194061952 Active

Practice location

2928 SE Hawthorne Blvd, #101
Portland, OR 97214-4147

Call (503) 358-5187 Map

Mailing address

3922 SE 49th Ave
Portland, OR 97206-3018

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18009 (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 1194061952

Benjamin Lakin Koenigsberg, LMT's National Provider Identifier is 1194061952, issued on Dec 26, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Dec 26, 2012.