Caroline Dejen Blake, LMT - Portland, OR

Caroline Dejen Blake, LMT

Massage Therapist in Portland, Oregon

NPI 1023385713

Caroline Dejen Blake is a Massage Therapist based in Cornelius, OR. Caroline Dejen Blake practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Caroline Dejen Blake is 1023385713 and holds a License No. 16590 (Oregon).

The current practice location address for Caroline Dejen Blake is 1928 Ne 40Th Ave, Portland, OR and can be reached out via phone at 503-287-2787.

Location: 1928 Ne 40Th Ave, Portland, OR, 97113-7412

NPI Number

1023385713

Provider Name

Caroline Dejen Blake

Credential

LMT

Provider Entity Type

Individual

Gender

Female

Address

1928 Ne 40Th Ave, Portland, OR, 97113-7412

Phone Number

503-287-2787

Fax Number

Provider Enumeration Date

11/22/2011

Last Update Date

03/09/2024

Address

1928 Ne 40Th Ave

City

Portland

State

Oregon

Zip

97212-5310

Phone Number

503-287-2787

Fax Number

Address

1928 Ne 40Th Ave

City

Portland

State

Oregon

Zip

97212-5310

Phone Number

503-287-2787

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

16590 (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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