Individual provider · NPI-1

Nader Abdallah

Massage Therapist · Portland, OR

NPI number1952090052
StatusActive
Last updated in NPPESMay 4, 2023

Details

NPI
1952090052
Entity type
Individual (NPI-1)
Name
Nader Abdallah
Sex
Male
Sole proprietor
No
Enumeration date
May 4, 2023
Certification date
May 4, 2023
Last updated
May 4, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist27145ORYes

Practice location

11750 Sw Barnes Rd
Portland, OR 97225-5911

Phone 503-389-6962

Mailing address

15820 Sw Flagstone Dr
Beaverton, OR 97007-6640

Phone 971-998-5152

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Massage Therapist providers in Portland, OR