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

Individual provider Prevention Professional · NPI 1558892471

Kelly McMullen, LMT is a Prevention Professional in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2017
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

819 SE Morrison St Ste 140
Portland, OR 97214-6307
Phone: (702) 480-6028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prevention Professional (primary) Taxonomy 405300000X · Licence 20211 (OR)

Record details

NPI number1558892471
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedMarch 22, 2017
Last updated in NPPESMarch 22, 2017

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