Individual provider · Type 1 NPI

Joanna L. McClish, ATC, LMT

Massage Therapist · Portland, OR

NPI number 1285690396 Active

Practice location

5112 NE Glisan St
Portland, OR 97213-2940

Call (503) 309-1333 Map

Mailing address

2000 NE 42nd Ave, #209
Portland, OR 97213-1399

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11778 (OR)
Athletic Trainer 2255A2300XAT-AT-10141269 (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 1285690396

Joanna L. McClish, ATC, LMT's National Provider Identifier is 1285690396, issued on Apr 26, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Oct 22, 2012.