Individual provider · Type 1 NPI

Wade R. Smith, LMT

Massage Therapist · Portland, OR

NPI number 1902363773 Active

Practice location

833 SE Main St
Portland, OR 97214-3454

Call (503) 752-7685 Map

Mailing address

3335 NE 25th Ave
Portland, OR 97212-2506

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X19225 (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 1902363773

Wade R. Smith, LMT's National Provider Identifier is 1902363773, issued on Feb 27, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Feb 27, 2019.