Individual provider · Type 1 NPI

Elizabeth A. Miakinkoff, LMT, LMP, CA

Massage Therapist · Portland, OR

NPI number 1639379399 Active

Practice location

16753 NE Halsey St
Portland, OR 97230-5666

Call (503) 804-9711 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X12878 (OR)
Massage Therapist 225700000XMA00022144 (WA)

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 1639379399

Elizabeth A. Miakinkoff, LMT, LMP, CA's National Provider Identifier is 1639379399, issued on Jul 20, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jul 20, 2007.