Individual provider · Type 1 NPI
Madison Hubbell, LMT
Massage Therapist · Portland, OR
NPI number
1215654512
Active
Practice location
4160 NE Sandy Blvd Ste 1100
Portland, OR 97212-5336
Mailing address
6710 N Wilbur Ave
Portland, OR 97217-5227
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 27065 (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.
Another provider at this address
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About NPI 1215654512
Madison Hubbell, LMT's National Provider Identifier is 1215654512, issued on Oct 26, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Oct 26, 2022.