Individual provider · Type 1 NPI

Stephanie Lynn Dougherty

Massage Therapist · Portland, OR

NPI number 1972169118 Active

Practice location

2933 NE Broadway St
Portland, OR 97232-1760

Call (503) 704-1810 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X24795 (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 1972169118

Stephanie Lynn Dougherty's National Provider Identifier is 1972169118, issued on May 14, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on May 14, 2019.