Tracy So is a Massage Therapist based in Portland, OR. Tracy So practices in Portland, OR. The NPI Number for Tracy So is 1194489393 and holds a License No. 25711 (Oregon).
The current practice location address for Tracy So is 2408 Se 60Th Ave, Portland, OR and can be reached out via phone at 503-772-1215.
Location: 2408 Se 60Th Ave, Portland, OR, 97206-1303
Provider Profile Details
NPI Number
1194489393
Provider Name
Tracy So
Credential
Provider Entity Type
Individual
Gender
Female
Address
2408 Se 60Th Ave, Portland, OR, 97206-1303
Phone Number
503-772-1215
Fax Number
Provider Enumeration Date
10/25/2021
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
2408 Se 60Th Ave
City
State
Zip
97206-1303
Phone Number
503-772-1215
Fax Number
Provider Business Mailing Address Details
Address
2408 Se 60Th Ave
City
State
Zip
97206-1303
Phone Number
503-772-1215
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
25711 (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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