Individual provider · Type 1 NPI

Michael Ian Gill, LAC

Massage Therapist · Portland, OR

NPI number 1093055840 Active

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.