person
Wanda Elizabeth Norman, LMT,LAC
Massage Therapist in Portland, Oregon
NPI 1497087555

Wanda Elizabeth Norman is a Massage Therapist based in Portland, OR. Wanda Elizabeth Norman practices in Portland, OR and has the professional credentials of LMT,LAC. The NPI Number for Wanda Elizabeth Norman is 1497087555 and holds a License No. AC150417 (Oregon).

The current practice location address for Wanda Elizabeth Norman is 10915 Se Stark St, Portland, OR and can be reached out via phone at 503-261-1120.

Location: 10915 Se Stark St, Portland, OR, 97216-3348
person
Provider Profile Details
NPI Number
1497087555
Provider Name
Wanda Elizabeth Norman
Credential
LMT,LAC
Provider Entity Type
Individual
Gender
Female
Address
10915 Se Stark St, Portland, OR, 97216-3348
Phone Number
503-261-1120
Fax Number
Provider Enumeration Date
01/31/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12447 01 OR MASSAGE LICENSE
AC150417 01 OR ACUPUNCTURE LICENSE
institution
Provider Business Practice Location Address Details
Address
10915 Se Stark St
City
State
Zip
97216-3348
Phone Number
503-261-1120
Fax Number
person
Provider Business Mailing Address Details
Address
10915 Se Stark St
City
State
Zip
97216-3348
Phone Number
503-261-1120
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Acupuncturist
Speciality
-
Taxonomy
License No.
12447 (Oregon)
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
AC150417 (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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