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

Anneke Jan Wisner

Individual provider Massage Therapist · NPI 1679334130

Anneke Jan Wisner is a Massage Therapist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

2149 NE Broadway St
Portland, OR 97232-1580
Phone: (503) 281-0278
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 27783 (OR)

Record details

NPI number1679334130
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 22, 2024
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026

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