Individual provider · Type 1 NPI

David Eagle Jones-Hackathorne, L.M.T.

Massage Therapist · Portland, OR

NPI number 1831622026 Active

Practice location

333 NE Russell St Ste 200
Portland, OR 97212-3762

Mailing address

9225 N Burr Ave
Portland, OR 97203-2439

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X22951 (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 1831622026

David Eagle Jones-Hackathorne, L.M.T.'s National Provider Identifier is 1831622026, issued on Apr 5, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Apr 5, 2017.