person
Blake Wp Fraser, CMT
Massage Therapist in Portland, Oregon
NPI 1851907018

Blake Wp Fraser is a Massage Therapist based in Portland, OR. Blake Wp Fraser practices in Portland, OR and has the professional credentials of CMT. The NPI Number for Blake Wp Fraser is 1851907018 and holds a License No. 26427 (Oregon).

The current practice location address for Blake Wp Fraser is 1125 Se Division St Ste 204, Portland, OR and can be reached out via phone at 682-622-6602.

Location: 1125 Se Division St Ste 204, Portland, OR, 97202-2567
person
Provider Profile Details
NPI Number
1851907018
Provider Name
Blake Wp Fraser
Credential
CMT
Provider Entity Type
Individual
Gender
Male
Address
1125 Se Division St Ste 204, Portland, OR, 97202-2567
Phone Number
682-622-6602
Fax Number
Provider Enumeration Date
09/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1125 Se Division St Ste 204
City
State
Zip
97202-2567
Phone Number
682-622-6602
Fax Number
person
Provider Business Mailing Address Details
Address
1125 Se Division St Ste 204
City
State
Zip
97202-2567
Phone Number
682-622-6602
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
26427 (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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