Individual provider · Type 1 NPI

Gwendolyn Joy Kochan, LMT

Massage Therapist · Gresham, OR

NPI number 1336712637 Active

Practice location

1217 NE Burnside Rd Ste 701
Gresham, OR 97030-5770

Call (503) 665-8959 Map

Mailing address

21691 S Wisteria Rd
West Linn, OR 97068-7228

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X6149 (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 1336712637

Gwendolyn Joy Kochan, LMT's National Provider Identifier is 1336712637, issued on Jul 23, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Gresham, OR. The record was last updated on Jul 23, 2021.