person
Casey Tyrone Gates, LMT
Massage Therapist in Portland, Oregon
NPI 1477070043

Casey Tyrone Gates is a Massage Therapist based in Portland, OR. Casey Tyrone Gates practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Casey Tyrone Gates is 1477070043 and holds a License No. 023247 (Oregon).

The current practice location address for Casey Tyrone Gates is 3109 Ne Broadway St Ste B, Portland, OR and can be reached out via phone at 971-413-3106.

Location: 3109 Ne Broadway St Ste B, Portland, OR, 97214-4447
person
Provider Profile Details
NPI Number
1477070043
Provider Name
Casey Tyrone Gates
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
3109 Ne Broadway St Ste B, Portland, OR, 97214-4447
Phone Number
971-413-3106
Fax Number
Provider Enumeration Date
08/24/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3109 Ne Broadway St Ste B
City
State
Zip
97232-1812
Phone Number
971-413-3106
Fax Number
person
Provider Business Mailing Address Details
Address
3109 Ne Broadway St Ste B
City
State
Zip
97232-1812
Phone Number
971-413-3106
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
023247 (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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