Samuel Egan Brodersen - Portland, OR

Samuel Egan Brodersen

Massage Therapist in Portland, Oregon

NPI 1467221424

Samuel Egan Brodersen is a Massage Therapist based in Vancouver, OR. Samuel Egan Brodersen practices in Portland, OR. The NPI Number for Samuel Egan Brodersen is 1467221424 and holds a License No. 26895 (Oregon).

The current practice location address for Samuel Egan Brodersen is 2149 Ne Broadway St, Portland, OR and can be reached out via phone at 503-281-0278.

Location: 2149 Ne Broadway St, Portland, OR, 98661-1965

NPI Number

1467221424

Provider Name

Samuel Egan Brodersen

Credential

Provider Entity Type

Individual

Gender

Male

Address

2149 Ne Broadway St, Portland, OR, 98661-1965

Phone Number

503-281-0278

Fax Number

Provider Enumeration Date

01/01/2024

Last Update Date

03/10/2024

Address

2149 Ne Broadway St

City

Portland

State

Oregon

Zip

97232-1580

Phone Number

503-281-0278

Fax Number

Address

2149 Ne Broadway St

City

Portland

State

Oregon

Zip

97232-1580

Phone Number

503-281-0278

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

26895 (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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