MR. DERUN REN LMT
NPI 1063859528
Massage Therapist in Portland, OR
- Individual
- Male
- Massage Therapist
About DERUN REN
This page provides the complete NPI Profile along with additional information for Derun Ren, a provider established in Portland, Oregon with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1063859528 assigned on May 2013. The practitioner's primary taxonomy code is 225700000X with license number 15138 (OR). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1063859528 Verify this NPI
- Provider Name
- MR. DERUN REN LMT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 10626 NE GLISAN ST PORTLAND, OR 97220
- Location Phone
- (503) 896-0660
- Location Fax
- (888) 362-8689
- Mailing Address
- 10626 NE GLISAN ST PORTLAND, OR 97220
- Mailing Phone
- (503) 896-0660
- Mailing Fax
- (888) 362-8689
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-23-2013
- Last Update Date
- 05-23-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 15138
- License State
- OR
- Taxonomy Description
- 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063859528, enumerated as an "individual" on May 23, 2013.
The provider is located at 10626 NE GLISAN ST PORTLAND, OR 97220 and the phone number is (503) 896-0660.
Massage Therapist with taxonomy code 225700000X.
