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Contact Information

AUTUMN L ROULAN, LMT
5835 NE DAVIS ST.
PORTLAND, OR97213-0000
 Phone: 503-231-8818
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for AUTUMN L ROULAN · (Female)

NPI # 1083993091
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 08/08/2011
Last updated 08/08/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # OBMT6906
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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