Individual provider · Type 1 NPI

David Alexander Gasporra, LMT

Massage Therapist · Portland, OR

NPI number 1609108992 Active

Practice location

1104 SW Columbia St Ste 2
Portland, OR 97201-3498

Call (503) 224-8623 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X6498 (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 1609108992

David Alexander Gasporra, LMT's National Provider Identifier is 1609108992, issued on Feb 11, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Feb 11, 2010.