Individual provider · Type 1 NPI

Michael Lee Carroll, LMT

Massage Therapist · Portland, OR

NPI number 1508788738 Active

Practice location

8213 SE 17th Ave
Portland, OR 97202-6719

Call (503) 782-8606 Map

Mailing address

514 E 9th St
Newberg, OR 97132-3326

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X29294 (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 1508788738

Michael Lee Carroll, LMT's National Provider Identifier is 1508788738, issued on Jul 28, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jul 28, 2026.