Individual provider · Type 1 NPI

Timothy Gene Irving, DC, LMT

Massage Therapist · Portland, OR

NPI number 1689655458 Active

Practice location

819 SE Morrison St Ste 215
Portland, OR 97214-6317

Call (503) 866-9739 Map

Fax (503) 716-4575

Mailing address

7704 SE Madison St
Portland, OR 97215-3017

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000X3622 (OR)
Massage Therapist Primary 225700000X10250 (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 1689655458

Timothy Gene Irving, DC, LMT's National Provider Identifier is 1689655458, issued on Nov 9, 2005. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jan 19, 2013.