Individual provider · Type 1 NPI

Lorca Shalom Wood, LMT

Massage Therapist · Portland, OR

NPI number 1538604103 Active

Practice location

2262 N Albina Ave
Portland, OR 97227-1792

Call (503) 997-2562 Map

Mailing address

2033 NE 62nd Ave
Portland, OR 97213-4155

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X13598 (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 1538604103

Lorca Shalom Wood, LMT's National Provider Identifier is 1538604103, issued on Jan 5, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jan 5, 2017.