Individual provider · Type 1 NPI

Emily Dawn Duforest, LMT

Massage Therapist · Portland, OR

NPI number 1427735877 Active

Practice location

13152 SE Rusk Rd
Portland, OR 97222-2171

Call (503) 919-7001 Map

Mailing address

9864 SE 38th Ave
Portland, OR 97222-5778

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X27764 (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 1427735877

Emily Dawn Duforest, LMT's National Provider Identifier is 1427735877, issued on Jun 28, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jun 28, 2023.