Individual provider · Type 1 NPI

Taylor Renee Clark

Massage Therapist · Portland, OR

NPI number 1316695000 Active

Practice location

3815 NE 137th Pl
Portland, OR 97230-2724

Call (503) 744-2611 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X26712 (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 1316695000

Taylor Renee Clark's National Provider Identifier is 1316695000, issued on Mar 12, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 12, 2022.