Individual provider · Type 1 NPI

Lisa A. Fargo, LMT

Specialist · Beaverton, OR

NPI number 1699874081 Active

Practice location

3800 SW Cedar Hills Blvd, #203
Beaverton, OR 97005-2027

Call (971) 645-2257 Map

Mailing address

13165 SW Essex Dr
Tigard, OR 97223-5646

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X11230 (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 1699874081

Lisa A. Fargo, LMT's National Provider Identifier is 1699874081, issued on Sep 21, 2006. 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.