Justin Clark, LMT is a massage therapist in Portland, OR. The provider is 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. Justin Clark, LMT NPI is 1013286863. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
12923 NW CORNELL RD
#201
PORTLAND, OR
ZIP 97229-834
Phone: (503) 646-3393
The enumeration date for this NPI number is 12/23/2011 and was last updated on 12/23/2011.