Individual provider · Type 1 NPI

Jon E. Dare, LMP, LMT

Massage Therapist · Portland, OR

NPI number 1902049562 Active

Practice location

2705 E Burnside St Ste 104
Portland, OR 97214-1767

Call (503) 893-4022 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000XMA60040619 (WA)
Massage Therapist Primary 225700000X17071 (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 1902049562

Jon E. Dare, LMP, LMT's National Provider Identifier is 1902049562, issued on Apr 13, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Sep 27, 2020.