Individual provider · Type 1 NPI

Summer Dawn Adhara, LMT, CA, CMT

Massage Therapist · Portland, OR

NPI number 1407486624 Active

Practice location

511 SW 10th Ave Ste 1001
Portland, OR 97205-2711

Call (503) 756-2743 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X17494 (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 1407486624

Summer Dawn Adhara, LMT, CA, CMT's National Provider Identifier is 1407486624, issued on Jan 16, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jan 16, 2020.