Individual provider · Type 1 NPI

Heather Young

Massage Therapist · Portland, OR

NPI number 1508237470 Active

Practice location

419 NW 23rd Ave
Portland, OR 97210-3470

Mailing address

11640 SW Boones Ferry Rd
Portland, OR 97219-7736

Specialties and licenses

TaxonomyCodeLicense
Mechanotherapist 172M00000X19977 (OR)
Mechanotherapist 172M00000X33014 (CA)
Massage Therapist Primary 225700000X19977 (OR)
Massage Therapist 225700000X33014 (CA)

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 1508237470

Heather Young's National Provider Identifier is 1508237470, issued on Oct 16, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Dec 22, 2015.