Individual provider · Type 1 NPI

Martha G. Lange, LMT

Massage Therapist · Portland, OR

NPI number 1245476001 Active

Practice location

2303 E Burnside St
Portland, OR 97214-1655

Call (503) 287-7733 Map

Mailing address

3942 NE 8th Ave
Portland, OR 97212-1205

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X14177 (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 1245476001

Martha G. Lange, LMT's National Provider Identifier is 1245476001, issued on Dec 29, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Feb 23, 2009.