Individual provider · Type 1 NPI

Mary Elizabeth Mangione-Moore

Massage Therapist · Portland, OR

NPI number 1215732102 Active

Practice location

2149 NE Broadway St
Portland, OR 97232-1580

Call (503) 281-0278 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X27393 (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 1215732102

Mary Elizabeth Mangione-Moore's National Provider Identifier is 1215732102, issued on Feb 15, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Feb 15, 2025.