Individual
CASEY NAIMAT CARDOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EP-C, EIM, LMT
Contact information
Practice address
1827 NE 44TH AVE STE 340, PORTLAND, OR 97213-1469
(503) 421-4049
Mailing address
1827 NE 44TH AVE STE 340, PORTLAND, OR 97213-1469
(503) 421-4049
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
10357
OR
226300000X
Kinesiotherapist
Primary
10357
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10357
OREGON BOARD OF MASSAGE THERAPISTS
OR
01
—
1049219
AMERCIAN COLLEGE OF SPORT MEDICINE
—
Enumeration date
04/20/2010
Last updated
12/22/2023
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