Individual provider · Type 1 NPI

Beth Schock, LMT

Massage Therapist · Portland, OR

NPI number 1679713648 Active

Practice location

5336 SE Bush St
Portland, OR 97206-5394

Call (503) 502-5115 Map

Mailing address

4404 NE 74th Ave
Portland, OR 97218-3639

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11598 (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 1679713648

Beth Schock, LMT's National Provider Identifier is 1679713648, issued on Mar 3, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Oct 8, 2009.