Active NPIIndividual providerSole proprietor

Mrs. Angela J Davis, LMT

Massage Therapist in Tigard, Oregon

NPI Number1043345267
Practice location
18039 SW Lower Boones Ferry RD, Tigard, OR 97224-7228
Fax
—
Last updated
July 8, 2007

Angela Jean Davis is a Massage Therapist based in Tigard, OR. Angela Jean Davis practices in Tigard, OR and has the professional credentials of LMT. The NPI Number for Angela Jean Davis is 1043345267 and holds a License No. 11689 (OR). The current practice location address for Angela Jean Davis is 18039 SW Lower Boones Ferry RD, Tigard, OR 97224-7228 and can be reached out via phone at 503-481-4945.

Provider Profile Details

NPI Number
1043345267
Provider Name
Angela Jean Davis
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
18039 SW Lower Boones Ferry RD, Tigard, OR 97224-7228
Phone Number
503-481-4945
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
February 21, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
18039 SW Lower Boones Ferry RD
Tigard, OR 97224-7228
City
Tigard
State
Oregon
Zip
97224-7228
Phone Number
503-481-4945
Tigard, OR 97224Get directions →

Provider Business Mailing Address Details

Address
9025 SW Oak St
Tigard, OR 97223-6547
City
Tigard
State
OR
Zip
97223-6547
Phone Number
503-481-4945

License Information

License Number
11689
License State
OR
Taxonomy
Massage Therapist · 225700000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Angela J Davis, LMT?

The NPI number of Mrs. Angela J Davis, LMT is 1043345267. It was assigned on February 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Angela J Davis, LMT?

Mrs. Angela J Davis, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in OR under license number 11689.

Where does Mrs. Angela J Davis, LMT practice?

The practice location is 18039 SW Lower Boones Ferry RD, Tigard, OR 97224-7228. The office can be reached at 503-481-4945 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043345267 directly on the NPPES registry website.

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