Individual provider · Type 1 NPI

Courtney Killeen Dolan, LMT# 26995

Massage Therapist · Portland, OR

NPI number 1144008053 Active

Practice location

2031 SE Belmont St
Portland, OR 97214-2812

Call (503) 893-2275 Map

Mailing address

5426 NE 24th Ave
Portland, OR 97211-6204

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X26995 (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 1144008053

Courtney Killeen Dolan, LMT# 26995's National Provider Identifier is 1144008053, issued on Sep 20, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Sep 20, 2023.