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

Mrs. Mary Nicole Grizhuk, LMT

Individual provider Massage Therapist · NPI 1962916742

Mrs. Mary Nicole Grizhuk, LMT is a Massage Therapist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2017
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

17221 SE Division St
Portland, OR 97236-1240
Phone: (503) 760-0778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence LMT-14584 (OR)
Massage Therapist Taxonomy 225700000X · Licence 14584 (OR)

Record details

NPI number1962916742
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedNovember 30, 2017
Last updated in NPPESNovember 30, 2017

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