Ian Dougherty is a Massage Therapist based in Portland, OR. Ian Dougherty practices in Portland, OR. The NPI Number for Ian Dougherty is 1578800405 and holds a License No. 18078 (Oregon).
The current practice location address for Ian Dougherty is 2037 N Williams Ave, Portland, OR and can be reached out via phone at 503-287-3813.
Location: 2037 N Williams Ave, Portland, OR, 97212-1080
Provider Profile Details
NPI Number
1578800405
Provider Name
Ian Dougherty
Credential
Provider Entity Type
Individual
Gender
Male
Address
2037 N Williams Ave, Portland, OR, 97212-1080
Phone Number
503-287-3813
Fax Number
Provider Enumeration Date
01/11/2013
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
2037 N Williams Ave
City
State
Zip
97227-1929
Phone Number
503-287-3813
Fax Number
Provider Business Mailing Address Details
Address
2037 N Williams Ave
City
State
Zip
97227-1929
Phone Number
503-287-3813
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
18078 (Oregon)
Definition
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.
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