Individual provider · Type 1 NPI

Benjamin Rosen, LMT

Massage Therapist · Portland, OR

NPI number 1306381454 Active

Practice location

10303 NE Weidler St.
Portland, OR 97200-3882

Call (503) 255-0306 Map

Mailing address

10303 NE Weidler St
Portland, OR 97220-3882

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X21846 (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 1306381454

Benjamin Rosen, LMT's National Provider Identifier is 1306381454, issued on Dec 28, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Dec 28, 2016.