person
Mr. George Miyake JR., LMT
Massage Therapist in Portland, Oregon
NPI 1083841613

George Miyake JR. is a Massage Therapist based in Portland, OR. George Miyake JR. practices in Portland, OR and has the professional credentials of LMT. The NPI Number for George Miyake JR. is 1083841613 and holds a License No. 15016 (Oregon).

The current practice location address for George Miyake JR. is 2456 Nw Northrup St, Portland, OR and can be reached out via phone at 503-223-6414 and via fax at 503-243-6632.

Location: 2456 Nw Northrup St, Portland, OR, 97210-3253
person
Provider Profile Details
NPI Number
1083841613
Provider Name
George Miyake JR.
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
2456 Nw Northrup St, Portland, OR, 97210-3253
Phone Number
503-223-6414
Fax Number
503-243-6632
Provider Enumeration Date
06/22/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2456 Nw Northrup St
City
State
Zip
97210-3253
Phone Number
503-223-6414
Fax Number
503-243-6632
person
Provider Business Mailing Address Details
Address
2456 Nw Northrup St
City
State
Zip
97210-3253
Phone Number
503-223-6414
Fax Number
503-243-6632
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
15016 (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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