IAN DOUGHERTY
NPI 1578800405
Massage Therapist in Portland, OR

Active since January 11, 2013
2037 N WILLIAMS AVE, PORTLAND, OR 97227(503) 287-3813 Get Directions Write a Review

NPPES record last updated: January 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ian Dougherty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IAN DOUGHERTY (NPI 1578800405) is an individual massage therapist in Portland, Oregon, licensed in Oregon (18078) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1578800405
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameIAN DOUGHERTY
Location Address2037 N WILLIAMS AVEPortland, OR 97227-1929
Mailing Address375 Ne Shaver St Apt 608Portland, OR 97212-1080
Sole ProprietorYes
Enumeration DateJanuary 11, 2013
NPI 1578800405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in OR · 18078
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
2037 N WILLIAMS AVE, Portland, OR 97227

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ian Dougherty's NPI number?

The NPI number for Ian Dougherty is 1578800405. It was assigned to this individual provider in the NPPES registry on January 11, 2013.

Where is Ian Dougherty located?

Ian Dougherty practices at 2037 N Williams Ave, Portland, OR 97227. The listed phone number is (503) 287-3813.

What is Ian Dougherty's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Ian Dougherty was last updated on January 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.