ANDREA OLSON I
NPI 1104276005
Massage Therapist in Portland, OR
- Individual
- Female
- Massage Therapist
About ANDREA OLSON
This page provides the complete NPI Profile along with additional information for Andrea Olson, a provider established in Portland, Oregon with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1104276005 assigned on June 2016. The practitioner's primary taxonomy code is 225700000X with license number 17038 (OR). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1104276005 Verify this NPI
- Provider Name
- ANDREA OLSON I
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1222 SE DIVISION ST PORTLAND, OR 97202
- Location Phone
- (503) 231-9879
- Mailing Address
- 4738 SE MILWAUKIE AVE PORTLAND, OR 97202
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-21-2016
- Last Update Date
- 06-21-2016
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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.
- 17038
- 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 1104276005, enumerated as an "individual" on June 21, 2016.
The provider is located at 1222 SE DIVISION ST PORTLAND, OR 97202 and the phone number is (503) 231-9879.
Massage Therapist with taxonomy code 225700000X.