Individual provider · Type 1 NPI

Mitchell T. Fosnaugh

Massage Therapist · Portland, OR

NPI number 1063360733 Active

Practice location

844 N Emerson St
Portland, OR 97217-2533

Call (206) 503-1536 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X29526 (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 1063360733

Mitchell T. Fosnaugh's National Provider Identifier is 1063360733, issued on Mar 18, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 18, 2026.