KATHERINE DISTEFANO NPI 1891852224

NPI Information

NPI: 1891852224
Provider Name: KATHERINE DISTEFANO
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
2100 NE BROADWAY ST STE 125
PORTLAND, OR
ZIP 97232
Phone: (503) 477-8222
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Katherine Distefano 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. Katherine Distefano NPI is 1891852224. 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:

2100 NE BROADWAY ST STE 125
PORTLAND, OR
ZIP 97232-500
Phone: (503) 477-8222
Fax: (971) 373-8648

The enumeration date for this NPI number is 1/3/2007 and was last updated on 12/1/2020.

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	174400000X	Specialist		11090	OREGON	No
2	225700000X	Massage Therapist		11090	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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