Back To The Source - Portland, OR

Back To The Source

Massage Therapist in Portland, Oregon

NPI 1942718952

Back To The Source is a Massage Therapist based in Portland, OR. Back To The Source practices in Portland, OR. The NPI Number for Back To The Source is 1942718952 and holds a License No. (Oregon).

The current practice location address for Back To The Source is 823 Ne Broadway St, Portland, OR and can be reached out via phone at 503-892-8787.

Location: 823 Ne Broadway St, Portland, OR, 97232-1215

NPI Number

1942718952

Provider Name

Back To The Source

Credential

Provider Entity Type

Organization

Address

823 Ne Broadway St, Portland, OR, 97232-1215

Phone Number

503-892-8787

Fax Number

Provider Enumeration Date

01/12/2018

Last Update Date

03/10/2024

Address

823 Ne Broadway St

City

Portland

State

Oregon

Zip

97232-1215

Phone Number

503-892-8787

Fax Number

Address

823 Ne Broadway St

City

Portland

State

Oregon

Zip

97232-1215

Phone Number

503-892-8787

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

()

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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