Individual provider · Type 1 NPI

Elizabeth Jane Cannon, LMBT

Massage Therapist · Portland, OR

NPI number 1508118563 Active

Practice location

2303 E Burnside St
Portland, OR 97214-1655

Call (503) 213-6907 Map

Mailing address

2715 NW Savier St
Portland, OR 97210-2415

Other practice locations

  • 2715 NW Savier St, Portland, OR 97210-2415 · (706) 410-0982

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11670 (NC)

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 1508118563

Elizabeth Jane Cannon, LMBT's National Provider Identifier is 1508118563, issued on Oct 15, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Dec 21, 2022.