Individual provider · Type 1 NPI

Jonathan Pierce, BCSI LMT

Massage Therapist · Portland, OR

NPI number 1194497271 Active

Practice location

1411 NE Broadway St
Portland, OR 97232-1485

Mailing address

3615 NE 72nd Ave
Portland, OR 97213-5705

Other practice locations

  • 4475 SW Scholls Ferry Rd Ste 210, Portland, OR 97225-1978 · (480) 438-6110

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X26338 (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 1194497271

Jonathan Pierce, BCSI LMT's National Provider Identifier is 1194497271, issued on Sep 28, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Sep 28, 2021.