Individual provider · Type 1 NPI

Christian Crowningshield Collins, LMT

Massage Therapist · Portland, OR

NPI number 1255608931 Active

Practice location

1928 NE 40th Ave
Portland, OR 97212-5310

Mailing address

1617 NE Alberta St, Apt 10
Portland, OR 97211-5068

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X14624 (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 1255608931

Christian Crowningshield Collins, LMT's National Provider Identifier is 1255608931, issued on Nov 22, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Nov 22, 2011.