NPI 1003117417

Colleen McClenahan, LMT

Practitioner Massage Therapist Portland, OR

Practice location

Address: 7409 SW Capitol Hwy STE 206, Portland, OR 97219-2432
Phone: (503) 816-4179

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 7338 (OR)

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Registry record

NPI: 1003117417
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Nov 2010
Record last updated: 16 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.