Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Russell Van der Werf, LMT

Individual provider Massage Therapist · NPI 1023512233

Andrew Russell Van der Werf, LMT is a Massage Therapist in Portland, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2018
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

2526 NE 15th Ave
Portland, OR 97212-4222
Phone: (503) 288-7668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2122 Nw Quimby St, Portland, OR 97210-2622 — (503) 292-7668

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 23850 (OR)

Record details

NPI number1023512233
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedMarch 21, 2018
Last updated in NPPESMarch 21, 2018

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