Individual provider · Type 1 NPI

Elaine Louise Gaetano, LMT

Massage Therapist · Portland, OR

NPI number 1376063727 Active

Practice location

4922 N Vancouver Ave
Portland, OR 97217-2826

Call (503) 493-9398 Map

Mailing address

5615 N Maryland Ave
Portland, OR 97217-4628

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X21815 (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 1376063727

Elaine Louise Gaetano, LMT's National Provider Identifier is 1376063727, issued on Jun 26, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jun 26, 2017.