Mr. Johnathan Andrew Krug - Portland, OR

Mr. Johnathan Andrew Krug

Massage Therapist in Portland, Oregon

NPI 1710604517

Johnathan Andrew Krug is a Massage Therapist based in Portland, OR. Johnathan Andrew Krug practices in Portland, OR. The NPI Number for Johnathan Andrew Krug is 1710604517 and holds a License No. 25956 (Oregon).

The current practice location address for Johnathan Andrew Krug 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, 97213-4535

NPI Number

1710604517

Provider Name

Johnathan Andrew Krug

Credential

Provider Entity Type

Individual

Gender

Male

Address

2149 Ne Broadway St, Portland, OR, 97213-4535

Phone Number

503-281-0278

Fax Number

Provider Enumeration Date

10/21/2022

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.

25956 (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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