person
Jonathan Hetrick Wolf, LMT
Massage Therapist in Portland, Oregon
NPI 1295278729

Jonathan Hetrick Wolf is a Massage Therapist based in Portland, OR. Jonathan Hetrick Wolf practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Jonathan Hetrick Wolf is 1295278729 and holds a License No. 20541 (Oregon).

The current practice location address for Jonathan Hetrick Wolf is 5263 Ne 16Th Ave, Portland, OR and can be reached out via phone at 503-915-9835.

Location: 5263 Ne 16Th Ave, Portland, OR, 97211-4423
person
Provider Profile Details
NPI Number
1295278729
Provider Name
Jonathan Hetrick Wolf
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
5263 Ne 16Th Ave, Portland, OR, 97211-4423
Phone Number
503-915-9835
Fax Number
Provider Enumeration Date
12/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5263 Ne 16Th Ave
City
State
Zip
97211-4423
Phone Number
503-915-9835
Fax Number
person
Provider Business Mailing Address Details
Address
5263 Ne 16Th Ave
City
State
Zip
97211-4423
Phone Number
503-915-9835
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
20541 (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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