Individual provider · Type 1 NPI

Clint Douglas Deadmond, LMT

Massage Therapist · Portland, OR

NPI number 1306306113 Active

Practice location

4515 SW Corbett Ave Ste 102
Portland, OR 97239-4289

Call (503) 224-5464 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X24121 (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 1306306113

Clint Douglas Deadmond, LMT's National Provider Identifier is 1306306113, issued on Mar 20, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 20, 2019.