Megan R Hitchcock, LMP

Individual provider Active NPI Massage Therapist · Washougal, WA

NPI 1649524026 · NPPES record last updated Nov 6, 2012

Key facts

NPI
1649524026
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA60278581 (WA)
Practice address
3307 Evergreen Way
Suite 601
Washougal, WA 98671-2062
Phone
(360) 835-9911
Fax
(360) 835-5765
NPI assigned
Nov 6, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MA60278581WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael a. Dornbusch, DC, PS Massage Therapist Past
since Apr 27, 2009
Accepting new patients
Pure Wellness Chiropractic Washougal PLLC Past
since Sep 29, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60278581 WA Yes

Addresses

Primary practice location

3307 Evergreen Way
Suite 601
Washougal, WA 98671-2062

Mailing address

3307 Evergreen Way
Suite 601
Washougal, WA 98671-2062
Phone (360) 835-9911

Other providers in Washougal, WA

All providers in Washougal, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.