Audra Erickson, BS, LMT - Portland, OR

Audra Erickson, BS,LMT

Massage Therapist in Portland, Oregon

NPI 1245781251

Audra Erickson is a Massage Therapist based in Portland, OR. Audra Erickson practices in Portland, OR and has the professional credentials of BS,LMT. The NPI Number for Audra Erickson is 1245781251 and holds a License No. 21710 (Oregon).

The current practice location address for Audra Erickson is 4415 Ne Sandy Blvd Ste 207, Portland, OR and can be reached out via phone at 541-484-7563.

Location: 4415 Ne Sandy Blvd Ste 207, Portland, OR, 97206-3527

NPI Number

1245781251

Provider Name

Audra Erickson

Credential

BS,LMT

Provider Entity Type

Individual

Gender

Female

Address

4415 Ne Sandy Blvd Ste 207, Portland, OR, 97206-3527

Phone Number

541-484-7563

Fax Number

Provider Enumeration Date

10/14/2016

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
21710	01	OR	STATE LICENSE

Address

4415 Ne Sandy Blvd Ste 207

City

Portland

State

Oregon

Zip

97213-1400

Phone Number

541-484-7563

Fax Number

Address

4415 Ne Sandy Blvd Ste 207

City

Portland

State

Oregon

Zip

97213-1400

Phone Number

541-484-7563

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

21710 (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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