MEDICARE: MEGAN ELIZABETH ROOD LMT, BS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	20001	OR
2	225700000X	Massage Therapist	MA36793	FL

General Provider Information

NPI Number	:	1023200425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN ELIZABETH ROOD LMT, BS

Provider Business Mailing Address
First Line	:	9560 N IVANHOE ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97203-1412
Country	:	US
Telephone Number	:	352-339-0712
Fax Number	:

Provider Business Practice Location Address
First Line	:	7318 N LEAVITT AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97203-4840
Country	:	US
Telephone Number	:	503-567-5880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2007
Last Update Date	:	09/25/2025

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