Individual provider · Type 1 NPI
Edgar Gonzalez, LMT
Massage Therapist · Lake Oswego, OR
NPI number
1689185506
Active
Practice location
17777 Lower Boones Ferry Rd Ste A
Lake Oswego, OR 97035-5398
Mailing address
5989 SE Harmony Rd Apt 12
Milwaukie, OR 97222-2111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 20741 (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.
2 other providers at this address
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About NPI 1689185506
Edgar Gonzalez, LMT's National Provider Identifier is 1689185506, issued on Oct 18, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Oswego, OR. The record was last updated on Oct 18, 2017.