Jonathan Pierce, LMT
Specialist in Portland, OR. Individual provider (NPI-1).
NPI number1699217828
StatusActive
Last updated in NPPESNov 4, 2016
Details
- NPI
- 1699217828
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Pierce
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 4, 2016
- Last updated
- Nov 4, 2016
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 |
|---|---|---|---|---|
| 174400000X | Specialist | 22344 | OR | Yes |
Practice location
1815 Sw Marlow Ave Ste 206Portland, OR 97225-5185
Phone 503-789-1014 · Fax 877-985-9111
Mailing address
1815 Sw Marlow Ave Ste 206Portland, OR 97225-5185
Phone 503-789-1014 · Fax 877-985-9111
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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