person
Isadora Ann Gouldberg, LMT
Massage Therapist in Portland, Oregon
NPI 1891058772

Isadora Ann Gouldberg is a Massage Therapist based in Portland, OR. Isadora Ann Gouldberg practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Isadora Ann Gouldberg is 1891058772 and holds a License No. 16641 (Oregon).

The current practice location address for Isadora Ann Gouldberg is 4039 N Mississippi Ave, Portland, OR and can be reached out via phone at 707-489-5679.

Location: 4039 N Mississippi Ave, Portland, OR, 97227-1476
person
Provider Profile Details
NPI Number
1891058772
Provider Name
Isadora Ann Gouldberg
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
4039 N Mississippi Ave, Portland, OR, 97227-1476
Phone Number
707-489-5679
Fax Number
Provider Enumeration Date
06/16/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4039 N Mississippi Ave
City
State
Zip
97227-1476
Phone Number
707-489-5679
Fax Number
person
Provider Business Mailing Address Details
Address
4039 N Mississippi Ave
City
State
Zip
97227-1476
Phone Number
707-489-5679
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
16641 (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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