Individual provider · Type 1 NPI

Samantha Bangone Lewis, L.M.T.

Massage Therapist · Beaverton, OR

NPI number 1376683045 Active

Practice location

13185 SW Butner Ct
Beaverton, OR 97005-0833

Call (503) 806-4652 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X12490 (OR)
Massage Therapist 225700000XMA00021799 (WA)

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 1376683045

Samantha Bangone Lewis, L.M.T.'s National Provider Identifier is 1376683045, issued on Feb 8, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Beaverton, OR. The record was last updated on Apr 13, 2017.