Individual provider · Type 1 NPI

Tristan Avery

Massage Therapist · Lake Oswego, OR

NPI number 1982553400 Active

Practice location

16679 Boones Ferry Rd Ste 105
Lake Oswego, OR 97035-4378

Call (503) 635-6005 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X28131 (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 1982553400

Tristan Avery's National Provider Identifier is 1982553400, issued on Jan 27, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Oswego, OR. The record was last updated on Jan 27, 2026.