Individual provider · Type 1 NPI

Lisa MK Sorensen, LMT

Massage Therapist · Portland, OR

NPI number 1699039115 Active

Practice location

16742 SE Division St
Portland, OR 97236-1414

Call (503) 761-0252 Map

Mailing address

17010 SE Stark St, Apt. D311
Portland, OR 97233-6205

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X10005 (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 1699039115

Lisa MK Sorensen, LMT's National Provider Identifier is 1699039115, issued on Jun 28, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jun 28, 2012.