Individual provider · Type 1 NPI

Isadora Ann Gouldberg, LMT

Massage Therapist · Portland, OR

NPI number 1891058772 Active

Practice location

4039 N Mississippi Ave, Ste 302
Portland, OR 97227-1476

Call (707) 489-5679 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X16641 (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 1891058772

Isadora Ann Gouldberg, LMT's National Provider Identifier is 1891058772, issued on Jun 16, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jun 16, 2012.