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

Georgia Fountas, LMT

Individual provider Massage Therapist · NPI 1073869707

Georgia Fountas, LMT is a Massage Therapist in Gresham, Oregon. Practices as a sole proprietor. Licensed in Maryland and Oregon.

Licensed in
MD, OR
In the registry since
2012
Specialties on file
2
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

22400 SE Stark St Ste 104
Gresham, OR 97030-2656
Phone: (503) 491-5555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 19041 (OR)
Massage Therapist Taxonomy 225700000X · Licence 1113 (MD)

Record details

NPI number1073869707
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedJuly 31, 2012
Last updated in NPPESJuly 31, 2012

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