Individual provider · Type 1 NPI
Michele D. Jordan, LMT
Massage Therapist · Hillsboro, OR
NPI number
1639207012
Active
Practice location
341 NE Lincoln St
Hillsboro, OR 97124-3145
Fax (503) 640-1603
Mailing address
27615 NW Dorland Rd, P.o.box 565
North Plains, OR 97133-8238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | LMT # 9359 (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.
Another provider at this address
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About NPI 1639207012
Michele D. Jordan, LMT's National Provider Identifier is 1639207012, issued on Feb 28, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Hillsboro, OR. The record was last updated on Jul 8, 2007.