Individual
JOSEPH EGNOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
7886 SE 13TH AVE, PORTLAND, OR 97202-6300
(503) 956-9396
Mailing address
5611 SE 119TH AVE, PORTLAND, OR 97266-3947
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23642
OR
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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