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Colleen L Mullins, LMT

Massage Therapist in Lake Oswego, OR. Individual provider (NPI-1).

NPI number1043580004
StatusActive
Last updated in NPPESJan 9, 2012

Details

NPI
1043580004
Entity type
Individual (NPI-1)
Name
Colleen L Mullins
Credential
LMT
Sex
Female
Sole proprietor
No
Enumeration date
Jan 9, 2012
Last updated
Jan 9, 2012

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist18523ORYes

Practice location

3990 Collins Way
Suite 201
Lake Oswego, OR 97035-3480

Phone 503-635-1236 · Fax 503-697-4741

Mailing address

3990 Collins Way
Lake Oswego, OR 97035-3480

Phone 503-635-1236 · Fax 503-697-4741

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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