Individual provider · Type 1 NPI

Maquel Fisher, LMT

Massage Therapist · Portland, OR

NPI number 1710646203 Active

Practice location

3942 SE Hawthorne Blvd Ofc 2
Portland, OR 97214-5242

Call (623) 308-0521 Map

Fax (503) 234-8323

Other practice locations

  • 4230 NE Fremont St, Portland, OR 97213-1150 · (971) 400-6063

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X26074 (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 1710646203

Maquel Fisher, LMT's National Provider Identifier is 1710646203, issued on Dec 11, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Dec 6, 2022.