Individual provider · Type 1 NPI
Alicia M. Miranda, LMT, COTA (RET)
Massage Therapist · Lake Oswego, OR
NPI number
1780901959
Active
Practice location
4949 Meadows Rd Ste 140
Lake Oswego, OR 97035-3156
Fax (503) 305-8849
Mailing address
20070 Larkspur Ln Apt 66
West Linn, OR 97068-2381
Other practice locations
- 21810 Willamette Dr, West Linn, OR 97068-3287 · (503) 305-8612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA 14848 (FL) |
| Massage Therapist | 225700000X | MA41682 (FL) |
| Massage Therapist Primary | 225700000X | 24185 (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.
Another provider at this address
Other massage therapist providers in Lake Oswego
- Bree Michele AshbyMassage Therapist Lake Oswego, OR NPI 1013263540
- Lisa Albers, LMTMassage Therapist Lake Oswego, OR NPI 1033419643
- Alison Joy Kelley, LMTMassage Therapist Lake Oswego, OR NPI 1033509120
- Jessica Nicole Brianza, LMTMassage Therapist Lake Oswego, OR NPI 1033600986
- Breanna Hilton, LMTMassage Therapist Lake Oswego, OR NPI 1043180144
- Colleen L. Mullins, LMTMassage Therapist Lake Oswego, OR NPI 1043580004
- Jon Martin SchaefferMassage Therapist Lake Oswego, OR NPI 1063029395
- Andrew Allen Black, LMTMassage Therapist Lake Oswego, OR NPI 1063838720
About NPI 1780901959
Alicia M. Miranda, LMT, COTA (RET)'s National Provider Identifier is 1780901959, issued on Apr 28, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Oswego, OR. The record was last updated on Apr 27, 2025.