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Edward Wickwire, LMT
Massage Therapist in Portland, Oregon
NPI 1851643266

Edward Wickwire is a Massage Therapist based in Portland, OR. Edward Wickwire practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Edward Wickwire is 1851643266 and holds a License No. 8033 (Oregon).

The current practice location address for Edward Wickwire is 917 Sw Oak St Ste 209, Portland, OR and can be reached out via phone at 503-702-3151.

Location: 917 Sw Oak St Ste 209, Portland, OR, 97205-2805
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Provider Profile Details
NPI Number
1851643266
Provider Name
Edward Wickwire
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
917 Sw Oak St Ste 209, Portland, OR, 97205-2805
Phone Number
503-702-3151
Fax Number
Provider Enumeration Date
10/09/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
917 Sw Oak St Ste 209
City
State
Zip
97205-2805
Phone Number
503-702-3151
Fax Number
person
Provider Business Mailing Address Details
Address
917 Sw Oak St Ste 209
City
State
Zip
97205-2805
Phone Number
503-702-3151
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
8033 (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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