Individual provider · Type 1 NPI

Eizabeth Michele Pedersen, LMT

Massage Therapist · Portland, OR

NPI number 1740791037 Active

Practice location

333 NE Russell St
Portland, OR 97212-3762

Call (503) 289-1390 Map

Mailing address

2904 E Mcloughlin Blvd
Vancouver, WA 98661-4740

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X23567 (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 1740791037

Eizabeth Michele Pedersen, LMT's National Provider Identifier is 1740791037, issued on Oct 13, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Oct 13, 2017.