Individual provider · Type 1 NPI
Ernesto Alfonso Lara, L.M.T
Massage Therapist · Hillsboro, OR
NPI number
1699011908
Active
Practice location
5405 SE Alexander St
Hillsboro, OR 97123-8584
Mailing address
2520 SW 204th Ave
Beaverton, OR 97006-1871
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 17920 (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 1699011908
Ernesto Alfonso Lara, L.M.T's National Provider Identifier is 1699011908, issued on Dec 14, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Hillsboro, OR. The record was last updated on Mar 14, 2013.