Individual provider · Type 1 NPI

Jordan Kimble Charters, L.M.T.

Massage Therapist · Portland, OR

NPI number 1831414747 Active

Practice location

15850 NW Central Dr
Portland, OR 97229-1101

Call (503) 431-1414 Map

Mailing address

19350 SW Melnore Ct
Aloha, OR 97006-2807

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X16334 (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 1831414747

Jordan Kimble Charters, L.M.T.'s National Provider Identifier is 1831414747, issued on Apr 2, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Apr 2, 2010.