Individual provider · Type 1 NPI

Jim Karl Anderson

Massage Therapist · Portland, OR

NPI number 1376213272 Active

Practice location

2505 SW Spring Garden St Ste 100
Portland, OR 97219-3966

Call (503) 841-6222 Map

Fax (503) 841-6199

Mailing address

5410 SW 42nd Ave
Portland, OR 97221-3567

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X26107 (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 1376213272

Jim Karl Anderson's National Provider Identifier is 1376213272, issued on Sep 14, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Sep 14, 2021.