Lora Geneva Edmiston, LMT - Portland, OR

Lora Geneva Edmiston, LMT

Massage Therapist in Portland, Oregon

NPI 1811209919

Lora Geneva Edmiston is a Massage Therapist based in Portland, OR. Lora Geneva Edmiston practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Lora Geneva Edmiston is 1811209919 and holds a License No. 14753 (Oregon).

The current practice location address for Lora Geneva Edmiston is 604 Nw 23Rd Ave, Portland, OR and can be reached out via phone at 503-708-9049.

Location: 604 Nw 23Rd Ave, Portland, OR, 97209-3758

NPI Number

1811209919

Provider Name

Lora Geneva Edmiston

Credential

LMT

Provider Entity Type

Individual

Gender

Female

Address

604 Nw 23Rd Ave, Portland, OR, 97209-3758

Phone Number

503-708-9049

Fax Number

Provider Enumeration Date

07/06/2010

Last Update Date

03/09/2024

Address

604 Nw 23Rd Ave

City

Portland

State

Oregon

Zip

97210-3209

Phone Number

503-708-9049

Fax Number

Address

604 Nw 23Rd Ave

City

Portland

State

Oregon

Zip

97210-3209

Phone Number

503-708-9049

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

14753 (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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