Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Dr. Mia Marin- Peck Crupper, ND, LMT

Individual provider Naturopath · NPI 1609992650

Dr. Mia Marin- Peck Crupper, ND, LMT is registered under Naturopath in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
Specialties on file
4
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

4259 NE Broadway St
Portland, OR 97213-1421 Not confirmed with CMS for 14 years — call before visiting
Phone: (503) 235-2259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Naturopath (primary) Taxonomy 175F00000X · Licence 1481 (OR)
Specialist Taxonomy 174400000X · Licence 7621 (OR)
Midwife Taxonomy 176B00000X
Doula Taxonomy 374J00000X

Record details

NPI number1609992650
Entity typeIndividual (Type 1)
GenderFemale
Credentials ND , LMT
Sole proprietorNo
NPI enumeratedMarch 21, 2007
Last updated in NPPESFebruary 7, 2012

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