Ivan Mercado is a Massage Therapist based in Portland, OR. Ivan Mercado practices in Portland, OR. The NPI Number for Ivan Mercado is 1780235945 and holds a License No. 25353 (Oregon).
The current practice location address for Ivan Mercado is 5235 Ne Sandy Blvd, Portland, OR and can be reached out via phone at 503-893-5131.
Location: 5235 Ne Sandy Blvd, Portland, OR, 97213-2562
Provider Profile Details
NPI Number
1780235945
Provider Name
Ivan Mercado
Credential
Provider Entity Type
Individual
Gender
Male
Address
5235 Ne Sandy Blvd, Portland, OR, 97213-2562
Phone Number
503-893-5131
Fax Number
Provider Enumeration Date
09/27/2019
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
5235 Ne Sandy Blvd
City
State
Zip
97213-2562
Phone Number
503-893-5131
Fax Number
Provider Business Mailing Address Details
Address
5235 Ne Sandy Blvd
City
State
Zip
97213-2562
Phone Number
503-893-5131
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
25353 (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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