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Blake Fraser, CMT
NPI 1851907018 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1125 Se Division St Ste 204
Portland, OR 97202 - Phone
- (682) 622-6602
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon