AUTUMN LEAH PETERSON L.M.T
NPI 1215078837
Massage Therapist in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Massage Therapist with taxonomy code 225700000X.

Active since February 08, 2007

2230 NW PETTYGROVE ST, STE. 110, PORTLAND, OR 97210(503) 224-4804(503) 224-7391 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Autumn Leah Peterson L.m.t NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTUMN LEAH PETERSON L.M.T (NPI 1215078837) is an individual massage therapist in Portland, Oregon and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1215078837

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameAUTUMN LEAH PETERSONCredential: L.M.T

Location Address2230 NW PETTYGROVE ST, STE. 110Portland, OR 97210-2659

Mailing Address2230 Nw Pettygrove St, Ste. 110Portland, OR 97210-2659 · (503) 224-4804 · Fax (503) 224-7391

Phone(503) 224-4804

Fax(503) 224-7391

Sole ProprietorYes

Enumeration DateFebruary 8, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1215078837 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

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.

2230 NW PETTYGROVE ST, Portland, OR 97210

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