EIZABETH MICHELE PEDERSEN LMT NPI 1740791037

NPI Information

NPI: 1740791037
Provider Name: EIZABETH MICHELE PEDERSEN, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
333 NE RUSSELL ST
PORTLAND, OR
ZIP 97212
Phone: (503) 289-1390
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Eizabeth Michele Pedersen, LMT 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. Eizabeth Michele Pedersen, LMT NPI is 1740791037. 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:

333 NE RUSSELL ST
PORTLAND, OR
ZIP 97212-762
Phone: (503) 289-1390

The enumeration date for this NPI number is 10/13/2017 and was last updated on 10/13/2017.

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		23567	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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