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Andrew Allen Black, LMT
Massage Therapist in Lake Oswego, Oregon
NPI 1063838720

Andrew Allen Black is a Massage Therapist based in Beaverton, OR. Andrew Allen Black practices in Lake Oswego, OR and has the professional credentials of LMT. The NPI Number for Andrew Allen Black is 1063838720 and holds a License No. 19070 (Oregon).

The current practice location address for Andrew Allen Black is 14511 Westlake Dr Ste 100, Lake Oswego, OR and can be reached out via phone at 503-598-8099 and via fax at 503-598-3980.

Location: 14511 Westlake Dr Ste 100, Lake Oswego, OR, 97008-4668
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063838720
Provider Name
Andrew Allen Black
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
14511 Westlake Dr Ste 100, Lake Oswego, OR, 97008-4668
Phone Number
503-598-8099
Fax Number
503-598-3980
Provider Enumeration Date
03/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14511 Westlake Dr Ste 100
City
Lake Oswego
State
Oregon
Zip
97035-7727
Phone Number
503-598-8099
Fax Number
503-598-3980
person
Provider Business Mailing Address Details
Address
14511 Westlake Dr Ste 100
City
Lake Oswego
State
Oregon
Zip
97035-7727
Phone Number
503-598-8099
Fax Number
503-598-3980
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
19070 (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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