Individual provider · Type 1 NPI

Angela G. Vandenbos, L.M.T.

Massage Therapist · Gresham, OR

NPI number 1972634061 Active

Practice location

39 NE Kelly Ave
Gresham, OR 97030-7539

Call (503) 314-9162 Map

Fax (503) 492-8560

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X6248 (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 1972634061

Angela G. Vandenbos, L.M.T.'s National Provider Identifier is 1972634061, issued on Mar 8, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Gresham, OR. The record was last updated on Sep 8, 2016.