NYSTROM THERAPUTIC MASSAGE NPI 1982924841

NPI Information

NPI: 1982924841
Provider Name: NYSTROM THERAPUTIC MASSAGE
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
9900 SW WILSHIRE ST STE 190-E
PORTLAND, OR
ZIP 97225
Phone: (503) 756-9076
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NYSTROM THERAPUTIC MASSAGE 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. NYSTROM THERAPUTIC MASSAGE NPI is 1982924841. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9900 SW WILSHIRE ST STE 190-E
PORTLAND, OR
ZIP 97225-035
Phone: (503) 756-9076
Fax: (503) 297-3827

The provider's authorized official is Yarley Nystrom .
The authorized official title is Owner and has the following contact phone number (503) 756-9076.

The enumeration date for this NPI number is 6/2/2010 and was last updated on 5/24/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		11353	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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