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Dr. Timothy Gene Irving, DC,LMT
Massage Therapist in Portland, Oregon
NPI 1689655458

Timothy Gene Irving is a Massage Therapist based in Portland, OR. Timothy Gene Irving practices in Portland, OR and has the professional credentials of DC,LMT. The NPI Number for Timothy Gene Irving is 1689655458 and holds a License No. 3622 (Oregon).

The current practice location address for Timothy Gene Irving is 819 Se Morrison St Ste 215, Portland, OR and can be reached out via phone at 503-866-9739 and via fax at 503-716-4575.

Location: 819 Se Morrison St Ste 215, Portland, OR, 97215-3017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689655458
Provider Name
Timothy Gene Irving
Credential
DC,LMT
Provider Entity Type
Individual
Gender
Male
Address
819 Se Morrison St Ste 215, Portland, OR, 97215-3017
Phone Number
503-866-9739
Fax Number
503-716-4575
Provider Enumeration Date
11/09/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
819 Se Morrison St Ste 215
City
Portland
State
Oregon
Zip
97214-6317
Phone Number
503-866-9739
Fax Number
503-716-4575
person
Provider Business Mailing Address Details
Address
819 Se Morrison St Ste 215
City
Portland
State
Oregon
Zip
97214-6317
Phone Number
503-866-9739
Fax Number
503-716-4575
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
10250 (Oregon)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
3622 (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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