Individual provider · Type 1 NPI

Yuichi Fukada, LMT

Massage Therapist · Portland, OR

NPI number 1821978164 Active

Practice location

1750 SW Skyline Blvd Ste 100
Portland, OR 97221-2536

Call (503) 754-8902 Map

Mailing address

10559 SW Tigard St Apt 55
Tigard, OR 97223-4148

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X16601 (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 1821978164

Yuichi Fukada, LMT's National Provider Identifier is 1821978164, issued on Sep 5, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Sep 5, 2025.