Individual provider · Type 1 NPI

Mariam Doll

Massage Therapist · Lake Oswego, OR

NPI number 1649601162 Active

Practice location

3 Monroe Pkwy, Suite U
Lake Oswego, OR 97035-1486

Mailing address

2170 NE Hancock St, 305
Portland, OR 97212-4774

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X19468 (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 1649601162

Mariam Doll's National Provider Identifier is 1649601162, issued on Dec 9, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Oswego, OR. The record was last updated on Dec 9, 2013.