Individual provider · Type 1 NPI

Samantha Jo Hargrove, LMT

Massage Therapist · Portland, OR

NPI number 1982956397 Active

Practice location

510 NE Dekum St
Portland, OR 97211-2926

Call (917) 676-5173 Map

Fax (833) 563-0873

Mailing address

9727 N Willamette Blvd
Portland, OR 97203-1443

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X17047 (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 1982956397

Samantha Jo Hargrove, LMT's National Provider Identifier is 1982956397, issued on Oct 9, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jan 5, 2022.