Individual provider · Type 1 NPI

Peter D. Black, LMT

Massage Therapist · Portland, OR

NPI number 1740538628 Active

Practice location

2610 SE Clinton St Ste E
Portland, OR 97202-1273

Call (808) 280-6470 Map

Mailing address

4725 SE Salmon St Unit A
Portland, OR 97215-2577

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X24898 (OR)
Massage Therapist 225700000XMAT 2885 (HI)

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 1740538628

Peter D. Black, LMT's National Provider Identifier is 1740538628, issued on Aug 26, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Feb 12, 2025.