Individual provider · Type 1 NPI
Melissa Diane Espinoza, LMT
Massage Therapist · Portland, OR
NPI number
1285874818
Active
Practice location
12590 SE Stark St Ste N
Portland, OR 97233-1056
Fax (503) 595-9634
Mailing address
10125 N Burr Ave
Portland, OR 97203-1715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 15954 (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 1285874818
Melissa Diane Espinoza, LMT's National Provider Identifier is 1285874818, issued on Feb 22, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Feb 22, 2009.