Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mia Marin- Peck Crupper, ND, LMT

Individual provider Naturopath · NPI 1609992650

Dr. Mia Marin- Peck Crupper, ND, LMT is a Naturopath in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
Specialties on file
4
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

4259 NE Broadway St
Portland, OR 97213-1421
Phone: (503) 235-2259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Naturopath (primary) Taxonomy 175F00000X · Licence 1481 (OR)
Specialist Taxonomy 174400000X · Licence 7621 (OR)
Midwife Taxonomy 176B00000X
Doula Taxonomy 374J00000X

Record details

NPI number1609992650
Entity typeIndividual (Type 1)
GenderFemale
Credentials ND , LMT
Sole proprietorNo
NPI enumeratedMarch 21, 2007
Last updated in NPPESFebruary 7, 2012

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