Individual provider · Type 1 NPI

Valentine Clark

Massage Therapist · Portland, OR

NPI number 1679848121 Active

Practice location

1308 NW 20th Ave
Portland, OR 97209-1607

Call (503) 936-2388 Map

Mailing address

25 NE Wygant St
Portland, OR 97211-2745

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X12703 (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 1679848121

Valentine Clark's National Provider Identifier is 1679848121, issued on Mar 16, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 16, 2012.