Individual provider · Type 1 NPI
Bernadette Elizabeth Carlson, LMT
Massage Therapist · Portland, OR
NPI number
1265149504
Active
Practice location
1017 SW Morrison St Ste 505
Portland, OR 97205-2630
Mailing address
7336 N Syracuse St
Portland, OR 97203-5068
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 24859 (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.
Another provider at this address
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About NPI 1265149504
Bernadette Elizabeth Carlson, LMT's National Provider Identifier is 1265149504, issued on Nov 4, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Nov 4, 2022.