Individual provider · Type 1 NPI

Fiona Grace Wagner, L.M.T

Massage Therapist · Portland, OR

NPI number 1912343047 Active

Practice location

10230 SW Hall Blvd
Portland, OR 97223-5804

Call (503) 806-4591 Map

Mailing address

11705 NW Vallevue Ct
Portland, OR 97229-5076

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X19740 (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 1912343047

Fiona Grace Wagner, L.M.T's National Provider Identifier is 1912343047, issued on May 15, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on May 15, 2013.