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Colleen Alicia Smith, LMT
Massage Therapist in Portland, Oregon
NPI 1578861175

Colleen Alicia Smith is a Massage Therapist based in Portland, OR. Colleen Alicia Smith practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Colleen Alicia Smith is 1578861175 and holds a License No. 16502 (Oregon).

The current practice location address for Colleen Alicia Smith is 430 Sw 13Th Ave, Portland, OR and can be reached out via phone at 503-544-8726.

Location: 430 Sw 13Th Ave, Portland, OR, 97205-2361
person
Provider Profile Details
NPI Number
1578861175
Provider Name
Colleen Alicia Smith
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
430 Sw 13Th Ave, Portland, OR, 97205-2361
Phone Number
503-544-8726
Fax Number
Provider Enumeration Date
03/05/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
430 Sw 13Th Ave
City
State
Zip
97205-2361
Phone Number
503-544-8726
Fax Number
person
Provider Business Mailing Address Details
Address
430 Sw 13Th Ave
City
State
Zip
97205-2361
Phone Number
503-544-8726
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
16502 (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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