Deborah Nicole Mann, LMT
Massage Therapist in Portland, OR. Individual provider (NPI-1).
NPI number1427368554
StatusActive
Last updated in NPPESJun 12, 2024
Details
- NPI
- 1427368554
- Entity type
- Individual (NPI-1)
- Name
- Deborah Nicole Mann
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 7, 2010
- Certification date
- Jun 12, 2024
- Last updated
- Jun 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 14739 | OR | Yes |
| 172M00000X | Mechanotherapist | 14739 | OR |
Practice location
316 Ne 19th AvePortland, OR 97232-2829
Phone 503-310-1627
Mailing address
10050 Sw 82nd AvePortland, OR 97223-8878
Phone 503-998-5666
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