Andrew Allen Black, LMT

NPI #1063838720 in Lake Oswego, Oregon

Provider Information

NPI Number: 1063838720
Entity Type: Individual
Name: Andrew Allen Black, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 5, 2014
Last Updated: Jan 16, 2019

Practice Location

Address: 14511 WESTLAKE DR STE 100
City: Lake Oswego
State: Oregon
ZIP Code: 97035-7727
Phone: (503) 598-8099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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