Healthcare Provider Details

I. General information

NPI: 1205749454
Provider Name (Legal Business Name): JULIA NOWOBILSKI LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

328 W MAIN ST STE 400
HILLSBORO OR
97123-3918
US

IV. Provider business mailing address

9001 OAKWOOD DR
HICKORY HILLS IL
60457-1237
US

V. Phone/Fax

Practice location:
  • Phone: 503-693-1151
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number29860
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: