Individual provider · Type 1 NPI

Teresa Marie Lundy, LMT

Specialist · Gresham, OR

NPI number 1124241005 Active

Practice location

22400 SE Stark St
Gresham, OR 97030-2656

Mailing address

6305 N Montana Ave
Portland, OR 97217-4851

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X6654 (OR)

Specialist: 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.

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About NPI 1124241005

Teresa Marie Lundy, LMT's National Provider Identifier is 1124241005, issued on Apr 10, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Gresham, OR. The record was last updated on Jul 8, 2007.