Individual provider · Type 1 NPI

Heather B. Davenport, LMT

Massage Therapist · Lake Oswego, OR

NPI number 1265944409 Active

Practice location

3 Monroe Pkwy Ste U
Lake Oswego, OR 97035-8875

Mailing address

17616 SW Bany Rd
Beaverton, OR 97007-5707

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XLMT-023603 (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 1265944409

Heather B. Davenport, LMT's National Provider Identifier is 1265944409, issued on Oct 27, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Oswego, OR. The record was last updated on Oct 27, 2017.