Jonathan Pierce, BCSI LMT
Massage Therapist in Portland, OR. Individual provider (NPI-1).
NPI number1194497271
StatusActive
Last updated in NPPESSep 28, 2021
Details
- NPI
- 1194497271
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Pierce
- Credential
- BCSI LMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2021
- Certification date
- Sep 28, 2021
- Last updated
- Sep 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 26338 | OR | Yes |
Practice location
1411 Ne Broadway StPortland, OR 97232-1485
Phone 480-438-6110
Mailing address
3615 Ne 72nd AvePortland, OR 97213-5705
Phone 480-438-6110
Other practice locations
4475 Sw Scholls Ferry Rd Ste 210
Portland, OR 97225-1978
Portland, OR 97225-1978
Phone 480-438-6110
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