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

TaxonomyCodeLicense
Massage Therapist Primary 225700000X19680 (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.