DEANNA MARIE WILSON LMT LICENSE #13180 NPI 1275861858

NPI Information

NPI: 1275861858
Provider Name: DEANNA MARIE WILSON, LMT LICENSE #13180
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
7817 SE STARK ST
PORTLAND, OR
ZIP 97215
Phone: (503) 956-8984
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Deanna Marie Wilson, LMT LICENSE #13180 is a massage therapist in Portland, OR. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Deanna Marie Wilson, LMT LICENSE #13180 NPI is 1275861858. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7817 SE STARK ST
PORTLAND, OR
ZIP 97215-339
Phone: (503) 956-8984

The enumeration date for this NPI number is 11/19/2009 and was last updated on 11/19/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		13180	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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