MICHAEL IAN GILL LAC NPI 1093055840

NPI Information

  • NPI: 1093055840
  • Provider Name: MICHAEL IAN GILL, LAC
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 124 SW YAMHILL ST
    PORTLAND, OR
    ZIP 97204
  • Phone: (971) 279-3591

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NPI Details

Michael Ian Gill, LAC 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. Michael Ian Gill, LAC NPI is 1093055840. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

124 SW YAMHILL ST
PORTLAND, OR
ZIP 97204-019
Phone: (971) 279-3591

The enumeration date for this NPI number is 2/14/2013 and was last updated on 2/14/2013.

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
1225700000XMassage Therapist7888OREGONYes

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: 11/21/2025

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