IRENE MARIE STAFFORD
NPI 1629552708
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 September 24, 2018

4922 N VANCOUVER AVE, PORTLAND, OR 97217(503) 493-9398 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Irene Marie Stafford NPPES

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

IRENE MARIE STAFFORD (NPI 1629552708) is an individual massage therapist in Portland, Oregon, licensed in Oregon (22842) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1629552708

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameIRENE MARIE STAFFORD

Location Address4922 N VANCOUVER AVEPortland, OR 97217-2826

Mailing Address4634 Ne Simpson StPortland, OR 97218-1831 · (503) 706-4859

Phone(503) 493-9398

Sole ProprietorYes

Enumeration DateSeptember 24, 2018

✔ NPI 1629552708 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 · 22842

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.

4922 N VANCOUVER AVE, Portland, OR 97217

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP