Individual provider · Type 1 NPI

Chad Anderson, LMT

Massage Therapist · Portland, OR

NPI number 1235641226 Active

Practice location

5010 NE 33rd Ave
Portland, OR 97211-6946

Mailing address

1544 N Highland St
Portland, OR 97217-4824

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X10820 (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 1235641226

Chad Anderson, LMT's National Provider Identifier is 1235641226, issued on Oct 30, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Oct 30, 2017.