Blake Wp Fraser, CMT
Blake Wp Fraser, CMT is a Massage Therapist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2020
Practice location Address checks out
1125 SE Division St Ste 204Portland, OR 97202-2567
Phone: (682) 622-6602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 26427 (OR) |
|---|
Record details
| NPI number | 1851907018 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CMT |
| Sole proprietor | Yes |
| NPI enumerated | September 22, 2020 |
| Last updated in NPPES | February 1, 2024 |
| Certification date | February 1, 2024 |
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