Individual provider · Type 1 NPI

Gabriel Gordon, LMT

Massage Therapist · Portland, OR

NPI number 1639691389 Active

Practice location

1235 SE Division St Ste 302
Portland, OR 97202-1056

Call (971) 328-1689 Map

Mailing address

6303 SE Harrison St
Portland, OR 97215-3447

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X023149 (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 1639691389

Gabriel Gordon, LMT's National Provider Identifier is 1639691389, issued on Jul 14, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Oct 15, 2019.