Individual provider · Type 1 NPI
Charles William Street, MASSAGE THERAPIST
Specialist · Beaverton, OR
NPI number
1346464419
Active
Practice location
1060 SW 170th Ave Unit 200
Beaverton, OR 97006-8089
Fax (541) 608-3911
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 1002 (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 1346464419
Charles William Street, MASSAGE THERAPIST's National Provider Identifier is 1346464419, issued on Apr 12, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Beaverton, OR. The record was last updated on Jul 8, 2007.