Individual provider · Type 1 NPI

Winter Raven Erin, L.M.T.

Massage Therapist · Portland, OR

NPI number 1689925927 Active

Practice location

9317 N Charleston Ave
Portland, OR 97203-2203

Call (971) 313-2079 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X19291 (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 1689925927

Winter Raven Erin, L.M.T.'s National Provider Identifier is 1689925927, issued on Sep 26, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Nov 27, 2012.