Stephanie Lynn Dougherty - Portland, OR

Stephanie Lynn Dougherty

Massage Therapist in Portland, Oregon

NPI 1972169118

Stephanie Lynn Dougherty is a Massage Therapist based in Portland, OR. Stephanie Lynn Dougherty practices in Portland, OR. The NPI Number for Stephanie Lynn Dougherty is 1972169118 and holds a License No. 24795 (Oregon).

The current practice location address for Stephanie Lynn Dougherty is 2933 Ne Broadway St, Portland, OR and can be reached out via phone at 503-704-1810.

Location: 2933 Ne Broadway St, Portland, OR, 97232-1760

NPI Number

1972169118

Provider Name

Stephanie Lynn Dougherty

Credential

Provider Entity Type

Individual

Gender

Female

Address

2933 Ne Broadway St, Portland, OR, 97232-1760

Phone Number

503-704-1810

Fax Number

Provider Enumeration Date

05/14/2019

Last Update Date

03/10/2024

Address

2933 Ne Broadway St

City

Portland

State

Oregon

Zip

97232-1760

Phone Number

503-704-1810

Fax Number

Address

2933 Ne Broadway St

City

Portland

State

Oregon

Zip

97232-1760

Phone Number

503-704-1810

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

24795 (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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