Individual provider · Type 1 NPI

Alyssa Black

Massage Therapist · Portland, OR

NPI number 1376312918 Active

Practice location

3944 N Mississippi Ave
Portland, OR 97227-1163

Call (503) 517-8222 Map

Mailing address

1735 SE Madison St Apt 1
Portland, OR 97214-3752

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18673 (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 1376312918

Alyssa Black's National Provider Identifier is 1376312918, issued on Dec 22, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Dec 22, 2023.