Individual
MEGAN GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6638 NE SANDY BLVD, PORTLAND, OR 97213-5250
(254) 258-8106
Mailing address
2957 NE 64TH AVE, PORTLAND, OR 97213-4519
(254) 258-8106
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25083
OR
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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