Individual provider · Type 1 NPI

Callie Lynn Roush, LMT

Massage Therapist · Portland, OR

NPI number 1801913637 Active

Practice location

12508 NE Halsey St
Portland, OR 97230-1929

Call (503) 860-4175 Map

Mailing address

5598 SE Viewcrest Dr
Milwaukie, OR 97267-4145

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X12706 (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 1801913637

Callie Lynn Roush, LMT's National Provider Identifier is 1801913637, issued on Mar 25, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.