IndividualActive
Adrienne Mullinax, LMT
NPI 1174790380 · Massage Therapist · Portland, OR
Provider details
- NPI number
- 1174790380
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- License
- 14011 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3339 Se Division St Ste F
Portland, OR 97202-1497
Phone: (503) 752-6027
Approximate (ZIP-level) locationGet directions
Mailing address
3339 Se Division St Ste F
Portland, OR 97202-1497
Registry dates
- Enumerated
- 2008-05-15
- Last updated
- 2026-04-20
- Certified
- 2026-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.