MRS. MARY NICOLE GRIZHUK LMT
NPI 1962916742
Massage Therapist in Portland, OR

Active since November 30, 2017
17221 SE DIVISION ST, PORTLAND, OR 97236(503) 760-0778 Get Directions Write a Review

NPPES record last updated: November 30, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Mary Nicole Grizhuk Lmt NPPES

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

MRS. MARY NICOLE GRIZHUK LMT (NPI 1962916742) is an individual massage therapist in Portland, Oregon, licensed in Oregon (LMT-14584) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1962916742
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMRS. MARY NICOLE GRIZHUKCredential: LMT
Location Address17221 SE DIVISION STPortland, OR 97236-1240
Mailing Address13058 Frontier PkwyOregon City, OR 97045-7738 · (503) 753-0541
Sole ProprietorYes
Enumeration DateNovember 30, 2017
NPI 1962916742 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
Licenses Licensed in OR · LMT-14584 Licensed in OR · 14584
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.
17221 SE DIVISION ST, Portland, OR 97236

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
17221 SE DIVISION ST
PORTLAND, OR 97236
Chiropractor
17221 SE DIVISION ST
PORTLAND, OR 97236
Massage Therapist
17221 SE DIVISION ST
PORTLAND, OR 97236
Massage Therapist
17221 SE DIVISION ST
PORTLAND, OR 97236
Massage Therapist
17221 SE DIVISION ST
PORTLAND, OR 97236
Specialist
17221 SE DIVISION ST, STE. 21
PORTLAND, OR 97236
Chiropractor
17221 SE DIVISION ST, STE 21
PORTLAND, OR 97236
Massage Therapist
17221 SE DIVISION ST
PORTLAND, OR 97236

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 Mary Grizhuk's NPI number?

The NPI number for Mary Grizhuk is 1962916742. It was assigned to this individual provider in the NPPES registry on November 30, 2017.

Where is Mary Grizhuk located?

Mary Grizhuk practices at 17221 SE Division St, Portland, OR 97236. The listed phone number is (503) 760-0778.

What is Mary Grizhuk'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 Mary Grizhuk was last updated on November 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.