IndividualActive
Chung So, LMT(OREGON #4132)
NPI 1003172412 · Massage Therapist · Portland, OR
Provider details
- NPI number
- 1003172412
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT(OREGON #4132)
- Sex
- Male
- Sole proprietor
- Yes
- License
- LMT#4132 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1616 Se Bybee Blvd
Portland, OR 97202-5715
Phone: (503) 236-4654
Approximate (ZIP-level) locationGet directions
Mailing address
6311 Nw Firwood Drive
Vancouver, WA 98665-8511
Registry dates
- Enumerated
- 2012-04-10
- Last updated
- 2012-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.