Individual provider · Type 1 NPI

Samantha Walker, LMT

Massage Therapist · Gresham, OR

NPI number 1962048538 Active

Practice location

22400 SE Stark St
Gresham, OR 97030-2656

Call (541) 510-8476 Map

Fax (503) 907-0098

Mailing address

2827 SE Colt Dr Apt T252
Portland, OR 97202-4464

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X25484 (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 1962048538

Samantha Walker, LMT's National Provider Identifier is 1962048538, issued on Nov 19, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Gresham, OR. The record was last updated on Nov 19, 2019.