MRS. MARY NICOLE GRIZHUK LMT NPI 1962916742

NPI Information

NPI: 1962916742
Provider Name: MRS. MARY NICOLE GRIZHUK, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
17221 SE DIVISION ST
PORTLAND, OR
ZIP 97236
Phone: (503) 760-0778
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MRS. Mary Nicole Grizhuk, LMT is a massage therapist in Portland, OR. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. MRS. Mary Nicole Grizhuk, LMT NPI is 1962916742. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17221 SE DIVISION ST
PORTLAND, OR
ZIP 97236-240
Phone: (503) 760-0778

The enumeration date for this NPI number is 11/30/2017 and was last updated on 11/30/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		14584	OREGON	No
2	225700000X	Massage Therapist		LMT-14584	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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