Deanna Marie Wilson, LMT LICENSE #13180 - Portland, OR

Deanna Marie Wilson, LMTLICENSE#13180

Massage Therapist in Portland, Oregon

NPI 1275861858

Deanna Marie Wilson is a Massage Therapist based in Portland, OR. Deanna Marie Wilson practices in Portland, OR and has the professional credentials of LMTLICENSE#13180. The NPI Number for Deanna Marie Wilson is 1275861858 and holds a License No. 13180 (Oregon).

The current practice location address for Deanna Marie Wilson is 7817 Se Stark St, Portland, OR and can be reached out via phone at 503-956-8984.

Location: 7817 Se Stark St, Portland, OR, 97215-2339

NPI Number

1275861858

Provider Name

Deanna Marie Wilson

Credential

LMTLICENSE#13180

Provider Entity Type

Individual

Gender

Female

Address

7817 Se Stark St, Portland, OR, 97215-2339

Phone Number

503-956-8984

Fax Number

Provider Enumeration Date

11/19/2009

Last Update Date

03/09/2024

Address

7817 Se Stark St

City

Portland

State

Oregon

Zip

97215-2339

Phone Number

503-956-8984

Fax Number

Address

7817 Se Stark St

City

Portland

State

Oregon

Zip

97215-2339

Phone Number

503-956-8984

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

13180 (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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