Organization · Type 2 NPI

WLM

Massage Therapist · Lake Oswego, OR

NPI number 1508321746 Active

Practice location

14511 Westlake Dr
Lake Oswego, OR 97035-7783

Call (503) 598-8099 Map

Mailing address

6172 Bonita Rd Apt B202
Lake Oswego, OR 97035-3139

Specialties and licenses

Taxonomy	Code	License
Massage Therapist Primary	225700000X	None listed

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.

14 other providers at this address

Other massage therapist providers in Lake Oswego

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NPI record

NPI: 1508321746
Entity type: Organization (Type 2)
Issued: Feb 1, 2019
Last updated: Jun 29, 2020
Status: Active

Other names

<unavail>
Westlake Massage · former legal business name
Westlake Massage Therapy · former legal business name

Authorized official

Gina Hoffmann, LMT
Owner/licensed Massage Therapist
(503) 403-9176

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508321746

WLM's National Provider Identifier is 1508321746, issued on Feb 1, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Oswego, OR. The record was last updated on Jun 29, 2020.