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Contact Information

MARY P WILSON, LMT
9600 SW OAK ST STE 410
PORTLAND, OR97223-6581
 Phone: 503-308-8676
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for MARY P WILSON · (Female)

NPI Number 1609729862
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 02/18/2026
Last updated 02/18/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • OR License # 29521
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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