Individual provider · Type 1 NPI

Derek Mark Thompson, LMT

Massage Therapist · Portland, OR

NPI number 1699511618 Active

Practice location

1939 NE Broadway St Ste C
Portland, OR 97232-1584

Call (503) 899-3695 Map

Mailing address

14885 Thayer Rd
Oregon City, OR 97045-9374

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XLMT-26351 (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 1699511618

Derek Mark Thompson, LMT's National Provider Identifier is 1699511618, issued on Jul 9, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jul 9, 2024.