Individual provider · Type 1 NPI

Terry Jordan, LMT

Massage Therapist · Lake Oswego, OR

NPI number 1801286216 Active

Practice location

333 S State St
Lake Oswego, OR 97034-3932

Mailing address

2461 Marylhaven Pl
Lake Oswego, OR 97034-4012

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X19354 (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 1801286216

Terry Jordan, LMT's National Provider Identifier is 1801286216, issued on Jan 23, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Oswego, OR. The record was last updated on Jan 23, 2015.