Active NPIIndividual provider

Dustie N Chapman, LMT

Massage Therapist in Beaverton, Oregon

NPI Number1104172410
Practice location
2155 NW 173RD Ave, Ste. 103, Beaverton, OR 97006-3563
Fax
503-352-0734
Last updated
July 24, 2012

Dustie Nicole Chapman is a Massage Therapist based in Beaverton, OR. Dustie Nicole Chapman practices in Beaverton, OR and has the professional credentials of LMT. The NPI Number for Dustie Nicole Chapman is 1104172410 and holds a License No. 11054 (OR). The current practice location address for Dustie Nicole Chapman is 2155 NW 173RD Ave, Ste. 103, Beaverton, OR 97006-3563 and can be reached out via phone at 503-352-0735 and via fax at 503-352-0734.

Provider Profile Details

NPI Number
1104172410
Provider Name
Dustie Nicole Chapman
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
2155 NW 173RD Ave, Ste. 103, Beaverton, OR 97006-3563
Phone Number
503-352-0735
Fax Number
503-352-0734
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
No
Provider Enumeration Date
July 24, 2012
Last Update Date
July 24, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
2155 NW 173RD Ave
Ste. 103
Beaverton, OR 97006-3563
State
Oregon
Zip
97006-3563
Phone Number
503-352-0735
Fax Number
503-352-0734
Beaverton, OR 97006Get directions →

Provider Business Mailing Address Details

Address
2155 NW 173RD Ave
Ste. 103
Beaverton, OR 97006-3563
City
Beaverton
State
OR
Zip
97006-3563
Phone Number
503-352-0735
Fax Number
503-352-0734

License Information

License Number
11054
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 Dustie N Chapman, LMT?

The NPI number of Dustie N Chapman, LMT is 1104172410. It was assigned on July 24, 2012 and is currently active in the NPPES registry.

What is the specialty of Dustie N Chapman, LMT?

Dustie N Chapman, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in OR under license number 11054.

Where does Dustie N Chapman, LMT practice?

The practice location is 2155 NW 173RD Ave, Ste. 103, Beaverton, OR 97006-3563. The office can be reached at 503-352-0735 (phone) or 503-352-0734 (fax).

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 1104172410 directly on the NPPES registry website.

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