LADEENE M HAGNER LMT
NPI 1154864718
Massage Therapist in Portland, OR
Active since November 29, 2016
About Ladeene M Hagner Lmt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LADEENE M HAGNER LMT (NPI 1154864718) is an individual massage therapist in Portland, Oregon, licensed in Oregon (16975) and active in the NPI registry since November 2016.
NPPES Registry Identity
NPI1154864718
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameLADEENE M HAGNERCredential: LMT
Location Address4620 SW CORONADO STPortland, OR 97219-7322
Mailing Address4620 Sw Coronado StPortland, OR 97219-7322 · (503) 820-1829
Phone(503) 820-1829
Sole ProprietorYes
Enumeration DateNovember 29, 2016
✔ NPI 1154864718 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in OR · 16975
Definition
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.
4620 SW CORONADO ST, Portland, OR 97219
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154864718, enumerated as an "individual" on November 29, 2016.
The provider is located at 4620 SW CORONADO ST PORTLAND, OR 97219 and the phone number is (503) 820-1829.
Massage Therapist with taxonomy code 225700000X.
