Individual provider · Type 1 NPI

Jennifer Bowler Laroche, LMT

Massage Therapist · Portland, OR

NPI number 1780951558 Active

Practice location

1928 NE 40th Ave
Portland, OR 97212-5310

Call (503) 287-2787 Map

Mailing address

7443 SW 31st Ave
Portland, OR 97219-1810

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11957 (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 1780951558

Jennifer Bowler Laroche, LMT's National Provider Identifier is 1780951558, issued on Nov 22, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Nov 22, 2011.