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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUTUMN L ROULAN, LMT

Active Sole Proprietor

AUTUMN L ROULAN, LMT is a Contractor healthcare provider located in PORTLAND, Oregon. NPI 1083993091 is currently active in the NPPES registry. Verify at CMS.

Contractor · PORTLAND, OR

Registration Details

NPI Number
1083993091
Provider Type
Individual
Gender
Female
NPI Issued
Aug 8, 2011 (15.027914069869 yrs)
Last Updated
Aug 8, 2011
License
OBMT6906 (OR)
Sole Proprietor
Yes

Practice Information

Address
5835 NE DAVIS ST.
PORTLAND, OR, 972130000
Browse OR providers · Browse ZIP 97213
Phone
5032318818
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in PORTLAND, OR

Name Credential NPI
MS. AIMEE KRISTINE PERKINS LMT 1023106515
CYNTHIA LYNN SHORT LMT 1861524316
MS. ALLISON JAYNE MOTT MASSAGE THERAPIST 1265659536
MAURI MCKITRICK LMT 1154525871
MR. MARTIN D CARLSON LMT, MMP 1639362890
MR. DANIEL S MULLOOLY LMT 1285820902
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.