Individual provider · Type 1 NPI

David C. Derosia, LMT

Massage Therapist · Portland, OR

NPI number 1831497569 Active

Practice location

2143 NE Broadway St Ste 1
Portland, OR 97232-1512

Call (971) 303-8367 Map

Other practice locations

  • 2304 E Burnside St Ste 1, Portland, OR 97214-1677 · (971) 303-8367

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X16541 (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 1831497569

David C. Derosia, LMT's National Provider Identifier is 1831497569, issued on Mar 3, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Apr 7, 2021.