Individual provider · Type 1 NPI

Tim Young

Massage Therapist · Portland, OR

NPI number 1669768933 Active

Practice location

419 NW 23rd Ave, Suite 101
Portland, OR 97210-3470

Call (503) 451-0063 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X17766 (OR)
Massage Therapist 225700000XMA60191368 (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 1669768933

Tim Young's National Provider Identifier is 1669768933, issued on Jun 24, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jun 24, 2011.