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NPI 1083993091

IndividualActive

Autumn Roulan, LMT

NPI 1083993091 · Contractor · Portland, OR

Provider details

NPI number: 1083993091
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Credential: LMT
Sex: Female
Sole proprietor: Yes
License: OBMT6906 (OR)

Practice location

5835 Ne Davis St.

Portland, OR 97213-0000

Phone: (503) 231-8818

More OR providers

Mailing address

5835 Ne Davis St.

Portland, OR 97213

Registry dates

Enumerated: 2011-08-08
Last updated: 2011-08-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Autumn Roulan, LMT — NPI 1083993091, Portland, OR | NPI Central