Individual provider · Type 1 NPI

Jacki S. Dickinson, LMT

Massage Therapist · Portland, OR

NPI number 1376834267 Active

Practice location

3514 NE 57th Ave
Portland, OR 97213-1737

Call (503) 680-1534 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X17685 (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 1376834267

Jacki S. Dickinson, LMT's National Provider Identifier is 1376834267, issued on Apr 26, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Apr 26, 2011.