Individual provider · Type 1 NPI
Kerrie Doran, LMT
Massage Therapist · Portland, OR
NPI number
1760053458
Active
Practice location
6040 SE Belmont St Ste 1230
Portland, OR 97215-1974
Fax (503) 236-8710
Mailing address
5415 N Albina Ave Apt 203
Portland, OR 97217-2391
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 26411 (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 1760053458
Kerrie Doran, LMT's National Provider Identifier is 1760053458, issued on Jul 5, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jul 5, 2021.