David Lelong
Massage Therapist in Portland, OR. Individual provider (NPI-1).
NPI number1023980372
StatusActive
Last updated in NPPESSep 18, 2025
Details
- NPI
- 1023980372
- Entity type
- Individual (NPI-1)
- Name
- David Lelong
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 18, 2025
- Certification date
- Sep 18, 2025
- Last updated
- Sep 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 24547 | OR | Yes |
Practice location
1030 Nw Marshall StPortland, OR 97209-2988
Phone 503-227-2279
Mailing address
2020 Ne Linnea Dr Apt 248Bend, OR 97701-4979
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