CONCETTA M ANTONELLI LMT NPI 1356687115

NPI Information

  • NPI: 1356687115
  • Provider Name: CONCETTA M ANTONELLI LMT
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 311 B AVE
    STE L
    LAKE OSWEGO, OR
    ZIP 97034
  • Phone: (503) 349-7038

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NPI Details

CONCETTA M ANTONELLI LMT is a specialist in Lake Oswego, 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. CONCETTA M ANTONELLI LMT NPI is 1356687115. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

311 B AVE
STE L
LAKE OSWEGO, OR
ZIP 97034-011
Phone: (503) 349-7038

The provider's authorized official is Concetta Marie Antonelli .
The authorized official title is Massage Therapist and has the following contact phone number (503) 349-7038.

The enumeration date for this NPI number is 12/26/2012 and was last updated on 12/26/2012.

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
1174400000XSpecialist7449OREGONYes

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: 11/21/2025

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