Individual provider · Type 1 NPI

Lana Kristine Wirges, LMT

Massage Therapist · Portland, OR

NPI number 1487173340 Active

Practice location

210 NW 17th Ave
Portland, OR 97209-2151

Call (971) 407-3066 Map

Mailing address

5704 NE Mason St
Portland, OR 97218-2210

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X15383 (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 1487173340

Lana Kristine Wirges, LMT's National Provider Identifier is 1487173340, issued on Sep 12, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Sep 12, 2017.