Healthcare Provider Details

I. General information

NPI: 1285571224
Provider Name (Legal Business Name): ISABEL SARA MORGAN MASSAGE THERAPIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 LONG ST
SWEET HOME OR
97386-3303
US

IV. Provider business mailing address

501 NE 112TH AVE APT 28
VANCOUVER WA
98684-4902
US

V. Phone/Fax

Practice location:
  • Phone: 541-367-6163
  • Fax:
Mailing address:
  • Phone: 541-405-6023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number29596
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: