Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Azzaya Gantulga

Individual provider Massage Therapist · NPI 1366225559

Azzaya Gantulga is a Massage Therapist in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

2149 NE Broadway St
Portland, OR 97232-1580
Phone: (503) 281-0278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1366225559
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 14, 2023
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023

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