David C Derosia, LMT - Portland, OR

David C Derosia, LMT

Massage Therapist in Portland, Oregon

NPI 1831497569

David C Derosia is a Massage Therapist based in Portland, OR. David C Derosia practices in Portland, OR and has the professional credentials of LMT. The NPI Number for David C Derosia is 1831497569 and holds a License No. 16541 (Oregon).

The current practice location address for David C Derosia is 2143 Ne Broadway St Ste 1, Portland, OR and can be reached out via phone at 971-303-8367.

Location: 2143 Ne Broadway St Ste 1, Portland, OR, 97232-1512

NPI Number

1831497569

Provider Name

David C Derosia

Credential

LMT

Provider Entity Type

Individual

Gender

Male

Address

2143 Ne Broadway St Ste 1, Portland, OR, 97232-1512

Phone Number

971-303-8367

Fax Number

Provider Enumeration Date

03/03/2011

Last Update Date

03/09/2024

Address

2143 Ne Broadway St Ste 1

City

Portland

State

Oregon

Zip

97232-1512

Phone Number

971-303-8367

Fax Number

Address

2143 Ne Broadway St Ste 1

City

Portland

State

Oregon

Zip

97232-1512

Phone Number

971-303-8367

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

16541 (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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