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Gary Leroy Wass, LMT
Massage Therapist in Portland, Oregon
NPI 1023221728

Gary Leroy Wass is a Massage Therapist based in Portland, OR. Gary Leroy Wass practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Gary Leroy Wass is 1023221728 and holds a License No. MA00016138 (Oregon).

The current practice location address for Gary Leroy Wass is 2929 Sw Multnomah Blvd Ste 207, Portland, OR and can be reached out via phone at 509-240-6989.

Location: 2929 Sw Multnomah Blvd Ste 207, Portland, OR, 97219-4072
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Provider Profile Details
NPI Number
1023221728
Provider Name
Gary Leroy Wass
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
2929 Sw Multnomah Blvd Ste 207, Portland, OR, 97219-4072
Phone Number
509-240-6989
Fax Number
Provider Enumeration Date
05/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5633 01 OR OREGON STATE LISCENCE
MA00016138 01 WA STATE LISCENCE NUMBER
institution
Provider Business Practice Location Address Details
Address
2929 Sw Multnomah Blvd Ste 207
City
State
Zip
97219-4072
Phone Number
509-240-6989
Fax Number
person
Provider Business Mailing Address Details
Address
2929 Sw Multnomah Blvd Ste 207
City
State
Zip
97219-4072
Phone Number
509-240-6989
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA00016138 (Washington)
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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