Individual provider · Type 1 NPI

Rae D. Mullin, LMT, GCFP

Massage Therapist · Portland, OR

NPI number 1265995575 Active

Practice location

333 NE Russell St
Portland, OR 97212-3762

Call (503) 289-1390 Map

Mailing address

807 SE 65th Ave
Portland, OR 97215-2039

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X24823 (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 1265995575

Rae D. Mullin, LMT, GCFP's National Provider Identifier is 1265995575, issued on Apr 12, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Apr 12, 2019.