Individual provider · Type 1 NPI

Carissa Camile Conner, LMT

Massage Therapist · Portland, OR

NPI number 1710282876 Active

Practice location

1427 NW Flanders Suite A
Portland, OR 97209

Call (503) 972-0235 Map

Fax (503) 379-1523

Mailing address

1427 A NW Flanders St
Portland, OR 97209

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7285 (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 1710282876

Carissa Camile Conner, LMT's National Provider Identifier is 1710282876, issued on Jan 21, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Sep 25, 2012.