person
Chung So, LMT(OREGON#4132)
Massage Therapist in Portland, Oregon
NPI 1003172412

Chung So is a Massage Therapist based in Vancouver, OR. Chung So practices in Portland, OR and has the professional credentials of LMT(OREGON#4132). The NPI Number for Chung So is 1003172412 and holds a License No. LMT#4132 (Oregon).

The current practice location address for Chung So is 1616 Se Bybee Blvd, Portland, OR and can be reached out via phone at 503-236-4654.

Location: 1616 Se Bybee Blvd, Portland, OR, 98665-8511
person
Provider Profile Details
NPI Number
1003172412
Provider Name
Chung So
Credential
LMT(OREGON#4132)
Provider Entity Type
Individual
Gender
Male
Address
1616 Se Bybee Blvd, Portland, OR, 98665-8511
Phone Number
503-236-4654
Fax Number
Provider Enumeration Date
04/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1616 Se Bybee Blvd
City
State
Zip
97202-5715
Phone Number
503-236-4654
Fax Number
person
Provider Business Mailing Address Details
Address
1616 Se Bybee Blvd
City
State
Zip
97202-5715
Phone Number
503-236-4654
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
LMT#4132 (Oregon)
Definition
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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