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Nathan Idrogo, LMT
Massage Therapist in White City, Oregon
NPI 1134995954

Nathan Idrogo is a Massage Therapist based in White City, OR. Nathan Idrogo practices in White City, OR and has the professional credentials of LMT. The NPI Number for Nathan Idrogo is 1134995954 and holds a License No. 18349 (Oregon).

The current practice location address for Nathan Idrogo is 7551 Crater Lake Hwy Ste B, White City, OR and can be reached out via phone at 541-601-1708.

Location: 7551 Crater Lake Hwy Ste B, White City, OR, 97503-1670
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134995954
Provider Name
Nathan Idrogo
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
7551 Crater Lake Hwy Ste B, White City, OR, 97503-1670
Phone Number
541-601-1708
Fax Number
Provider Enumeration Date
12/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7551 Crater Lake Hwy Ste B
City
White City
State
Oregon
Zip
97503-1670
Phone Number
541-601-1708
Fax Number
person
Provider Business Mailing Address Details
Address
7551 Crater Lake Hwy Ste B
City
White City
State
Oregon
Zip
97503-1670
Phone Number
541-601-1708
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
18349 (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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