Individual provider · Type 1 NPI

Tamara McGuire-Wyrick X, LMT

Massage Therapist · Portland, OR

NPI number 1417353053 Active

Practice location

12923 NW Cornell Rd, Suite 201
Portland, OR 97229

Call (503) 646-3393 Map

Fax (503) 672-7042

Mailing address

14800 NW Cornell Rd 17C
Portland, OR 97229

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18036 (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 1417353053

Tamara McGuire-Wyrick X, LMT's National Provider Identifier is 1417353053, issued on Nov 10, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Nov 10, 2014.