Individual provider · Type 1 NPI

Regina Elizabeth Sylvi Isaksson

Massage Therapist · Portland, OR

NPI number 1649757758 Active

Practice location

4629 SE Woodstock Blvd
Portland, OR 97206-6275

Call (503) 277-2776 Map

Mailing address

5018 Foothills Rd Apt A
Lake Oswego, OR 97034-3196

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X24273 (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 1649757758

Regina Elizabeth Sylvi Isaksson's National Provider Identifier is 1649757758, issued on Jul 20, 2018. 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, 2018.