Individual provider · Type 1 NPI

Lisa Teague, LMT

Specialist · Portland, OR

NPI number 1497936629 Active

Practice location

511 SW 10th Ave Ste 1109
Portland, OR 97205-2712

Call (503) 329-3577 Map

Mailing address

2083 NW Johnson St. #34
Portland, OR 97209

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X11219 (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 1497936629

Lisa Teague, LMT's National Provider Identifier is 1497936629, issued on Nov 15, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Nov 15, 2007.