Individual provider · Type 1 NPI
Michael Ian Gill, LAC
Massage Therapist · Portland, OR
NPI number
1093055840
Active
Practice location
124 SW Yamhill St
Portland, OR 97204-3019
Mailing address
1020 SE 7th Ave, 15248
Portland, OR 97293-0856
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 7888 (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.
2 other providers at this address
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- Sunshine Welsch, LMTMassage Therapist Portland, OR NPI 1003132747
- Chung So, LMT(OREGON #4132)Massage Therapist Portland, OR NPI 1003172412
- Joelle Anne Cappello, LMTMassage Therapist Portland, OR NPI 1003184847
- Monicka April Koneski, LMT, RYTMassage Therapist Portland, OR NPI 1003188418
- Mariya Zavyalova, LMTMassage Therapist Portland, OR NPI 1003205113
About NPI 1093055840
Michael Ian Gill, LAC's National Provider Identifier is 1093055840, issued on Feb 14, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Feb 14, 2013.