Individual provider · Type 1 NPI

Nathan John Nordstrom, LMT

Massage Therapist · Portland, OR

NPI number 1205999554 Active

Practice location

270 NE 181st Ave
Portland, OR 97230-6663

Call (503) 669-1966 Map

Mailing address

PO Box 3101
Gresham, OR 97030-0323

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7700 (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 1205999554

Nathan John Nordstrom, LMT's National Provider Identifier is 1205999554, issued on Dec 18, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.