Organization · Type 2 NPI

Willamette Wine Spa LLC

Massage Therapist · Portland, OR

NPI number 1740159532 Active

Practice location

1517 NE Broadway St
Portland, OR 97232-1406

Call (503) 946-8450 Map

Mailing address

1838 NE Wasco St
Portland, OR 97232-1444

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1740159532

Willamette Wine Spa LLC's National Provider Identifier is 1740159532, issued on Oct 31, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Oct 31, 2025.