NPI 1124300322

David Michael McGovern, LMT

Practitioner Reflexologist Portland, OR

Practice location

Address: 2045 SE Madison St APT 15, Portland, OR 97214
Phone: (503) 489-9794
Fax: (732) 753-7487

Registered specialties

Reflexologist Primary

Other Service Providers Taxonomy 173C00000X Licence 17921 (OR)

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Registry record

NPI: 1124300322
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Sep 2011
Record last updated: 13 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.