Individual provider · Type 1 NPI

Jason Lasley

Massage Therapist · Portland, OR

NPI number 1730648494 Active

Practice location

2808 NE Mlk Blvd Ste C
Portland, OR 97212-3061

Call (503) 473-8515 Map

Mailing address

1817 SE 130th Ave
Portland, OR 97233-1413

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X21285 (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 1730648494

Jason Lasley's National Provider Identifier is 1730648494, issued on Mar 13, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 13, 2019.