Individual provider · Type 1 NPI

Derek Chittenden

Massage Therapist · Portland, OR

NPI number 1952743593 Active

Practice location

9370 SW Greenburg Rd, Ste 602
Portland, OR 97223-5442

Call (503) 464-6410 Map

Mailing address

8260 SW Fairway Dr
Portland, OR 97225-2754

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18734 (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 1952743593

Derek Chittenden's National Provider Identifier is 1952743593, issued on Jul 24, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jul 24, 2013.