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Mr. Charles William Street, MASSAGETHERAPIST
Specialist in Beaverton, Oregon
NPI 1346464419

Charles William Street is a Specialist based in Beaverton, OR. Charles William Street practices in Beaverton, OR and has the professional credentials of MASSAGETHERAPIST. The NPI Number for Charles William Street is 1346464419 and holds a License No. 1002 (Oregon).

The current practice location address for Charles William Street is 1060 Sw 170Th Ave Unit 200, Beaverton, OR and can be reached out via phone at 541-778-0705 and via fax at 541-608-3911. You can also correspond with Charles William Street through the mailing address at 1060 SW 170TH AVE UNIT 200, BEAVERTON, OR - 97006-8089 (mailing address contact number: 541-778-0705).

Location: 1060 Sw 170Th Ave Unit 200, Beaverton, OR, 97006-8089
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346464419
Provider Name
Charles William Street
Credential
MASSAGETHERAPIST
Provider Entity Type
Individual
Gender
Male
Address
1060 Sw 170Th Ave Unit 200, Beaverton, OR, 97006-8089
Phone Number
541-778-0705
Fax Number
541-608-3911
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1060 Sw 170Th Ave Unit 200
City
Beaverton
State
Oregon
Zip
97006-8089
Phone Number
541-778-0705
Fax Number
541-608-3911
person
Provider Business Mailing Address Details
Address
1060 Sw 170Th Ave Unit 200
City
Beaverton
State
Oregon
Zip
97006-8089
Phone Number
541-778-0705
Fax Number
541-608-3911
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
1002 (Oregon)
Definition
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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