Mandy Michelle Gregg, LMT
Massage Therapist in Portland, OR. Individual provider (NPI-1).
NPI number1265602007
StatusActive
Last updated in NPPESMar 7, 2008
Details
- NPI
- 1265602007
- Entity type
- Individual (NPI-1)
- Name
- Mandy Michelle Gregg
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 7, 2008
- Last updated
- Mar 7, 2008
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 14363 | OR | Yes |
Practice location
2035 Se Belmont StPortland, OR 97214-2812
Phone 503-459-9331
Mailing address
1748 Se Elliott AvePortland, OR 97214-4812
Phone 503-459-9331
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