IndividualActive
Micah Lee, LMT
NPI 1003180928 · Mechanotherapist · Beaverton, OR
Provider details
- NPI number
- 1003180928
- Entity type
- Individual
- Primary specialty
- MechanotherapistOther Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 17945 (OR)
Specialties & taxonomies
Other Service Providers
Practice location
1574 Sw 175th Ave
Beaverton, OR 97006-7635
Phone: (503) 888-3863
Approximate (ZIP-level) locationGet directions
Mailing address
1574 Sw 175th Ave
Beaverton, OR 97006-7635
Registry dates
- Enumerated
- 2012-02-24
- Last updated
- 2012-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.