Individual provider · Type 1 NPI

Jillian Balderson, LMT

Massage Therapist · Portland, OR

NPI number 1558974501 Active

Practice location

4922 N Vancouver Ave
Portland, OR 97217-2826

Call (503) 493-9398 Map

Mailing address

6688 NW 60th St
Redmond, OR 97756-9119

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X25917 (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 1558974501

Jillian Balderson, LMT's National Provider Identifier is 1558974501, issued on Aug 28, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Aug 28, 2020.