Individual provider · Type 1 NPI

James R. Dudder, LMT

Massage Therapist · Portland, OR

NPI number 1790938199 Active

Practice location

4445 SW Barbur Blvd, Ste 104
Portland, OR 97239-4047

Call (503) 226-4500 Map

Mailing address

3604 NE 64th Ave
Portland, OR 97213-4412

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X15492 (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 1790938199

James R. Dudder, LMT's National Provider Identifier is 1790938199, issued on Oct 29, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Apr 20, 2010.