MR. Charles William Street, MASSAGE THERAPIST is a specialist in Beaverton, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Charles William Street, MASSAGE THERAPIST NPI is 1346464419. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1060 SW 170TH AVE UNIT 200
BEAVERTON, OR
ZIP 97006-089
Phone: (541) 778-0705
Fax: (541) 608-3911
The enumeration date for this NPI number is 4/12/2007 and was last updated on 7/8/2007.