Individual provider · Type 1 NPI

Ulric Shawn Legouest, LMT

Massage Therapist · Gresham, OR

NPI number 1770937740 Active

Practice location

22400 SE Stark St # 105
Gresham, OR 97030-2656

Call (503) 907-0099 Map

Mailing address

12530 SE Market St
Portland, OR 97233-1241

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X21816 (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 1770937740

Ulric Shawn Legouest, LMT's National Provider Identifier is 1770937740, issued on Apr 15, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Gresham, OR. The record was last updated on Apr 15, 2016.