Individual provider · Type 1 NPI

Amanda Jane Ashlock, LMT

Massage Therapist · Portland, OR

NPI number 1306498977 Active

Practice location

407 NW 17th Ave Ste 5
Portland, OR 97209-2247

Call (971) 221-7154 Map

Mailing address

4927 NE 30th Ave
Portland, OR 97211-7007

Other practice locations

  • 4927 NE 30th Ave, Portland, OR 97211-7007 · (971) 221-7154

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X19392 (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 1306498977

Amanda Jane Ashlock, LMT's National Provider Identifier is 1306498977, issued on Jul 12, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jul 12, 2019.