Matthew Herring, LMT
Massage Therapist in Portland, OR. Individual provider (NPI-1).
NPI number1669976304
StatusActive
Last updated in NPPESMar 19, 2018
Details
- NPI
- 1669976304
- Entity type
- Individual (NPI-1)
- Name
- Matthew Herring
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2018
- Last updated
- Mar 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 23950 | OR | Yes |
Practice location
13305 Nw Cornell Rd Ste EPortland, OR 97229-5987
Phone 503-746-5085
Mailing address
1512 Se 16th Ave Apt 105Portland, OR 97214-4760
Phone 949-370-2335
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