Individual provider · Type 1 NPI

Stephanie Russell, LMT

Massage Therapist · Portland, OR

NPI number 1437553195 Active

Practice location

6441 SW Canyon Ct, Suite 102
Portland, OR 97221-1458

Call (503) 935-0057 Map

Mailing address

7275 SE Wrenfield St
Hillsboro, OR 97123-5600

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X13026 (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 1437553195

Stephanie Russell, LMT's National Provider Identifier is 1437553195, issued on Oct 9, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Oct 9, 2014.