- Practice location
- 14195 SW Allen Blvd, Beaverton, OR 97005-4408
- Phone
- 503-626-2166
- Fax
- 503-641-6665
- Last updated
- April 16, 2013
Cenica L Ballantyne is a Massage Therapist based in Beaverton, OR. Cenica L Ballantyne practices in Beaverton, OR and has the professional credentials of LMT. The NPI Number for Cenica L Ballantyne is 1578906913 and holds a License No. 16775 (OR). The current practice location address for Cenica L Ballantyne is 14195 SW Allen Blvd, Beaverton, OR 97005-4408 and can be reached out via phone at 503-626-2166 and via fax at 503-641-6665.
Provider Profile Details
- NPI Number
- 1578906913
- Provider Name
- Cenica L Ballantyne
- Credential
- LMT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 14195 SW Allen Blvd, Beaverton, OR 97005-4408
- Phone Number
- 503-626-2166
- Fax Number
- 503-641-6665
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 16, 2013
- Last Update Date
- April 16, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14195 SW Allen Blvd
Beaverton, OR 97005-4408 - City
- Beaverton
- State
- Oregon
- Zip
- 97005-4408
- Phone Number
- 503-626-2166
- Fax Number
- 503-641-6665
Provider Business Mailing Address Details
- Address
- 14195 SW Allen Blvd
Beaverton, OR 97005-4408 - City
- Beaverton
- State
- OR
- Zip
- 97005-4408
- Phone Number
- 503-626-2166
- Fax Number
- 503-641-6665
License Information
- License Number
- 16775
- License State
- OR
- Taxonomy
- Massage Therapist · 225700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Cenica L Ballantyne, LMT?
The NPI number of Cenica L Ballantyne, LMT is 1578906913. It was assigned on April 16, 2013 and is currently active in the NPPES registry.
What is the specialty of Cenica L Ballantyne, LMT?
Cenica L Ballantyne, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in OR under license number 16775.
Where does Cenica L Ballantyne, LMT practice?
The practice location is 14195 SW Allen Blvd, Beaverton, OR 97005-4408. The office can be reached at 503-626-2166 (phone) or 503-641-6665 (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 1578906913 directly on the NPPES registry website.