NPI 1679082622 · live from the CMS NPI Registry
Callie Albertus
Massage Therapist in Lake Oswego, OR. National Provider Identifier 1679082622, active.
NPI record
| NPI | 1679082622 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 16679 Boones Ferry Rd Ste 105, Lake Oswego, OR 97035 |
| Practice phone | 503-635-6005 |
| Mailing address | 10021 Nw 307th Ave, North Plains, OR 97133 |
| Enumerated | September 21, 2017 |
| Last updated | September 21, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 15847 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.