Individual provider · Type 1 NPI

Victoria Danielle Gates, LMT

Massage Therapist · Portland, OR

NPI number 1255692695 Active

Practice location

2526 NE 15th Ave
Portland, OR 97212-4222

Call (503) 288-7668 Map

Mailing address

1732 NE Sumner St
Portland, OR 97211-5637

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X15280 (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 1255692695

Victoria Danielle Gates, LMT's National Provider Identifier is 1255692695, issued on Jun 1, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jun 7, 2012.