Individual provider · Type 1 NPI

Douglas Meacham, LMT

Massage Therapist · Gresham, OR

NPI number 1780955138 Active

Practice location

123 E Powell Blvd, # 304
Gresham, OR 97030-7624

Call (503) 319-7142 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X12196 (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 1780955138

Douglas Meacham, LMT's National Provider Identifier is 1780955138, issued on Jan 17, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Gresham, OR. The record was last updated on Jan 17, 2012.