Individual provider · Type 1 NPI

Jennifer Marie Bivens, L.M.T.

Massage Therapist · Portland, OR

NPI number 1467772178 Active

Practice location

5331 SW Macadam Ave, Suite 105
Portland, OR 97239-6104

Call (503) 445-7999 Map

Fax (503) 445-7997

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7252 (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 1467772178

Jennifer Marie Bivens, L.M.T.'s National Provider Identifier is 1467772178, issued on Jun 3, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Dec 26, 2012.