Georgia Fountas, LMT

NPI 1073869707 · on the registry since 2012 · sole proprietor

Practice

Address: 22400 Se Stark St
Suite 104
Gresham, OR 97030
Phone: (503) 491-5555
Organisation at this address: Danielle
Tina Caputo
Tina Caputo Lmt
Katherine Zieman
Underdog Alchemy
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: Massage Therapist
225700000X
Also registered as: Massage Therapist
Licence states on file: OR, MD
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-07-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon