Individual provider · Type 1 NPI

Tatiana Mouton

Massage Therapist · Portland, OR

NPI number 1891635702 Active

Practice location

5020 NE Martin Luther King Blvd
Portland, OR 97211-3204

Call (503) 902-1122 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X27209 (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 1891635702

Tatiana Mouton's National Provider Identifier is 1891635702, issued on Mar 30, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 30, 2026.