Individual provider · Type 1 NPI

Ivan Mercado

Massage Therapist · Portland, OR

NPI number 1780235945 Active

Practice location

5235 NE Sandy Blvd
Portland, OR 97213-2562

Call (503) 893-5131 Map

Mailing address

5253 NE Sandy Blvd
Portland, OR 97213-2562

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X25353 (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 1780235945

Ivan Mercado's National Provider Identifier is 1780235945, issued on Sep 27, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Sep 27, 2019.