Individual provider · Type 1 NPI

Anneke Jan Wisner

Massage Therapist · Portland, OR

NPI number 1679334130 Active

Practice location

2149 NE Broadway St
Portland, OR 97232-1580

Call (503) 281-0278 Map

Mailing address

16581 SE Hagen Rd
Happy Valley, OR 97086-8632

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X27783 (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 1679334130

Anneke Jan Wisner's National Provider Identifier is 1679334130, issued on Jan 22, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Feb 5, 2026.