IndividualActive
Diane Lewis, LMT
NPI 1639622855 · Massage Therapist · Gladstone, OR
Provider details
- NPI number
- 1639622855
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 22504 (OR)
Mailing address
19845 River Rd Apt a
Gladstone, OR 97027-2283
Registry dates
- Enumerated
- 2016-07-25
- Last updated
- 2016-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.