BENJAMIN LAKIN KOENIGSBERG LMT
NPI 1194061952
Massage Therapist in Portland, OR
- Individual
- Male
- Massage Therapist
About BENJAMIN KOENIGSBERG
This page provides the complete NPI Profile along with additional information for Benjamin Koenigsberg, a provider established in Portland, Oregon with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1194061952 assigned on December 2012. The practitioner's primary taxonomy code is 225700000X with license number 18009 (OR). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1194061952 Verify this NPI
- Provider Name
- BENJAMIN LAKIN KOENIGSBERG LMT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2928 SE HAWTHORNE BLVD #101 PORTLAND, OR 97214
- Location Phone
- (503) 358-5187
- Mailing Address
- 3922 SE 49TH AVE PORTLAND, OR 97206
- Mailing Phone
- (503) 358-5187
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-26-2012
- Last Update Date
- 12-26-2012
- 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.
- 18009
- 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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Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
PORTLAND, OR 97214
PORTLAND, OR 97214
PORTLAND, OR 97214
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194061952, enumerated as an "individual" on December 26, 2012.
The provider is located at 2928 SE HAWTHORNE BLVD #101 PORTLAND, OR 97214 and the phone number is (503) 358-5187.
Massage Therapist with taxonomy code 225700000X.
