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

Mary Rose Licari

Individual provider Massage Therapist · NPI 1265242945

Mary Rose Licari is a Massage Therapist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

2149 NE Broadway St
Portland, OR 97232-1580
Phone: (503) 281-0278
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 25550 (OR)

Record details

NPI number1265242945
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 13, 2025
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025

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