person
Jacob Smith, LMT
Massage Therapist in Portland, Oregon
NPI 1972859676

Jacob Smith is a Massage Therapist based in Portland, OR. Jacob Smith practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Jacob Smith is 1972859676 and holds a License No. 17775 (Oregon).

The current practice location address for Jacob Smith is 8137 Sw 40Th Ave, Portland, OR and can be reached out via phone at 503-896-1396.

Location: 8137 Sw 40Th Ave, Portland, OR, 97219-3502
person
Provider Profile Details
NPI Number
1972859676
Provider Name
Jacob Smith
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
8137 Sw 40Th Ave, Portland, OR, 97219-3502
Phone Number
503-896-1396
Fax Number
Provider Enumeration Date
07/31/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8137 Sw 40Th Ave
City
State
Zip
97219-3502
Phone Number
503-896-1396
Fax Number
person
Provider Business Mailing Address Details
Address
8137 Sw 40Th Ave
City
State
Zip
97219-3502
Phone Number
503-896-1396
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
17775 (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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