Individual provider · Type 1 NPI

Erzhen Baldukhaeva, LMT

Massage Therapist · Portland, OR

NPI number 1265067664 Active

Practice location

2442 SE 101st Ave Ste 205
Portland, OR 97216-3064

Call (503) 206-5042 Map

Fax (503) 206-5751

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X25288 (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 1265067664

Erzhen Baldukhaeva, LMT's National Provider Identifier is 1265067664, issued on Mar 5, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 5, 2020.