Individual provider · Type 1 NPI

Peter Borden, LMT #18714

Massage Therapist · Portland, OR

NPI number 1659644714 Active

Practice location

1017 SW Morrison St, #405
Portland, OR 97205-2635

Call (503) 789-3313 Map

Mailing address

203 NE 113th Ave
Portland, OR 97220-2304

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18714 (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 1659644714

Peter Borden, LMT #18714's National Provider Identifier is 1659644714, issued on Feb 20, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Feb 26, 2016.