Individual provider · Type 1 NPI
Vincent Martin, LMT
Massage Therapist · Portland, OR
NPI number
1972160455
Active
Practice location
210 SW 17th Avenue
Portland, OR 97209
Mailing address
420 SW Washington St Ste 304
Portland, OR 97204-2234
Other practice locations
- 420 SW Washington St Ste 304, Portland, OR 97204-2234 · (503) 752-8781
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 19680 (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 1972160455
Vincent Martin, LMT's National Provider Identifier is 1972160455, issued on May 21, 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 30, 2024.