Individual provider · Type 1 NPI

Alexis Extine

Massage Therapist · Portland, OR

NPI number 1699291344 Active

Practice location

6504 NE Siskiyou St
Portland, OR 97213-4572

Call (503) 327-3819 Map

Mailing address

1958 NE 72nd Ave
Portland, OR 97213-5358

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000XNone listed
Massage Therapist Primary 225700000X23528 (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 1699291344

Alexis Extine's National Provider Identifier is 1699291344, issued on Aug 15, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Aug 15, 2017.