Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN SODERHOLM, LMT
Active Sole ProprietorBRIAN SODERHOLM, LMT is a Mechanotherapist healthcare provider located in GRESHAM, Oregon. NPI 1053683813 is currently active in the NPPES registry. Verify at CMS.
Mechanotherapist · GRESHAM, OR
Registration Details
- NPI Number
- 1053683813
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 8, 2012 (14.533634867359 yrs)
- Last Updated
- Feb 8, 2012
- Licenses
-
18501 (OR)18501 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
22400 SE STARK STGRESHAM, OR, 970302656Browse OR providers · Browse ZIP 97030
- Phone
- 5034915555
- Fax
- 5036745005
- Primary Specialty
-
Mechanotherapist
172M00000X
- Additional Specialty
- Massage Therapist
Other Mechanotherapist Providers in GRESHAM, OR
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID JONATHAN EMERSON | LMT | 1053526137 |
| AFTON KENDELL | L.M.T. | 1568631232 |
| LORITA ELAINE JOHNSON | LMT | 1629219613 |
| MRS. BRIDGETTE MARIE WILKISON | LMT, NCBTMB | 1356637094 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.