Ethan W Trevino, LMT - Portland, OR

Ethan W Trevino, LMT

Massage Therapist in Portland, Oregon

NPI 1942894290

Ethan W Trevino is a Massage Therapist based in Deer Island, OR. Ethan W Trevino practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Ethan W Trevino is 1942894290 and holds a License No. 26242 (Oregon).

The current practice location address for Ethan W Trevino is 5253 Ne Sandy Blvd, Portland, OR and can be reached out via phone at 503-893-5131.

Location: 5253 Ne Sandy Blvd, Portland, OR, 97054-9418

NPI Number

1942894290

Provider Name

Ethan W Trevino

Credential

LMT

Provider Entity Type

Individual

Gender

Male

Address

5253 Ne Sandy Blvd, Portland, OR, 97054-9418

Phone Number

503-893-5131

Fax Number

Provider Enumeration Date

02/26/2021

Last Update Date

03/10/2024

Address

5253 Ne Sandy Blvd

City

Portland

State

Oregon

Zip

97213-2562

Phone Number

503-893-5131

Fax Number

Address

5253 Ne Sandy Blvd

City

Portland

State

Oregon

Zip

97213-2562

Phone Number

503-893-5131

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

26242 (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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