Individual provider · Type 1 NPI

Adela Theodora Basayne, M.A., L.M.T.

Massage Therapist · Portland, OR

NPI number 1386891752 Active

Practice location

116 N Page St
Portland, OR 97227-1909

Call (503) 975-8713 Map

Mailing address

4940 SW Hewett Blvd
Portland, OR 97221-2205

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2556 (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 1386891752

Adela Theodora Basayne, M.A., L.M.T.'s National Provider Identifier is 1386891752, issued on Aug 27, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Aug 27, 2008.