Marissa C Dorry, LMT
Massage Therapist in Portland, OR. Individual provider (NPI-1).
NPI number1982244620
StatusActive
Last updated in NPPESJan 10, 2020
Details
- NPI
- 1982244620
- Entity type
- Individual (NPI-1)
- Name
- Marissa C Dorry
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2020
- Certification date
- Jan 10, 2020
- Last updated
- Jan 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 21742 | OR | Yes |
Practice location
2927 Ne Everett StPortland, OR 97232-3248
Phone 505-232-6161
Mailing address
2927 Ne Everett StPortland, OR 97232-3248
Phone 503-232-6161
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