Individual provider · Type 1 NPI

Joseph Leonardo Jordan, LMT

Massage Therapist · Portland, OR

NPI number 1912469008 Active

Practice location

3529 NE Bryce St
Portland, OR 97212-1854

Call (503) 853-1944 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X12747 (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 1912469008

Joseph Leonardo Jordan, LMT's National Provider Identifier is 1912469008, issued on Apr 5, 2019. 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, 2019.