IndividualActive
Daniel Mullooly, LMT
NPI 1285820902 · Contractor · Portland, OR
Provider details
- NPI number
- 1285820902
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 13294 LMT (OR)
Mailing address
4402 Se Flavel St
Portland, OR 97206-8428
Registry dates
- Enumerated
- 2007-09-16
- Last updated
- 2013-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.