Individual provider · Type 1 NPI

Mary Ford, LMT

Massage Therapist · Portland, OR

NPI number 1023767779 Active

Practice location

2303 E Burnside St
Portland, OR 97214-1655

Mailing address

1106 SW Gibbs St
Portland, OR 97239-3036

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X26807 (OR)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1023767779

Mary Ford, LMT's National Provider Identifier is 1023767779, issued on Mar 21, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 21, 2022.