Organization · Type 2 NPI

Lavender Moon Wellness LLC

Massage Therapist · Portland, OR

NPI number 1619717170 Active

Practice location

2933 NE Broadway St
Portland, OR 97232-1760

Call (503) 960-3366 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone 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.

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About NPI 1619717170

Lavender Moon Wellness LLC's National Provider Identifier is 1619717170, issued on May 30, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on May 30, 2024.