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

MRS. MARY NICOLE GRIZHUK, LMT

Active Sole Proprietor

MRS. MARY NICOLE GRIZHUK, LMT is a Massage Therapist healthcare provider located in PORTLAND, Oregon. NPI 1962916742 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · PORTLAND, OR

Registration Details

NPI Number
1962916742
Provider Type
Individual
Gender
Female
NPI Issued
Nov 30, 2017 (8.6835310257998 yrs)
Last Updated
Nov 30, 2017
Licenses
14584 (OR)
LMT-14584 (OR)
Sole Proprietor
Yes

Practice Information

Address
17221 SE DIVISION ST
PORTLAND, OR, 972361240
Browse OR providers · Browse ZIP 97236
Phone
5037600778
Primary Specialty
Massage Therapist
225700000X
Additional Specialty
Massage Therapist

Other Massage Therapist Providers in PORTLAND, OR

Name Credential NPI
DR. TIMOTHY GENE IRVING DC, LMT 1689655458
MRS. LEAH JOY BOWDER 1275508780
JOANNA L MCCLISH ATC, LMT 1285690396
MR. PABLO CESAR COHEN LMT 1225088263
DIANNE L PERNETTI LMT 1639129315
MR. MICHAEL ALAN BECKLUND LMT 1083667760
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.