JOANNA MCCLISH, ATC, LMT

Massage Therapist

Active Individual
NPI: 1285690396

Practice Address

5112 NE GLISAN ST
Portland, OR 97213

Phone: (503) 309-1333

Specialties

Specialty Code Primary License
Massage Therapist 225700000X Yes 11778 (OR)
Specialist/Technologist - Athletic Trainer 2255A2300X No AT-AT-10141269 (OR)

Frequently Asked Questions

NPI 1285690396 is the National Provider Identifier for JOANNA MCCLISH, ATC, LMT, a Massage Therapist provider located in Portland, OR. This NPI was enumerated on April 26, 2006.
JOANNA MCCLISH, ATC, LMT practices at 5112 NE GLISAN ST, Portland, OR 97213.

Quick Facts

NPI
1285690396
Type
Individual
Enumerated
Apr 26, 2006
Last Updated
Oct 22, 2012

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