Active NPIIndividual providerSole proprietor

Carissa R Campos, LMT

Massage Therapist in Tigard, Oregon

NPI Number1639483761
Practice location
14783 SW 109TH Ave, Apt 1, Tigard, OR 97224-3224
Fax
—
Last updated
July 30, 2010

Carissa Ruth Campos is a Massage Therapist based in Tigard, OR. Carissa Ruth Campos practices in Tigard, OR and has the professional credentials of LMT. The NPI Number for Carissa Ruth Campos is 1639483761 and holds a License No. 13603 (OR). The current practice location address for Carissa Ruth Campos is 14783 SW 109TH Ave, Apt 1, Tigard, OR 97224-3224 and can be reached out via phone at 503-487-7348.

Provider Profile Details

NPI Number
1639483761
Provider Name
Carissa Ruth Campos
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
14783 SW 109TH Ave, Apt 1, Tigard, OR 97224-3224
Phone Number
503-487-7348
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
July 30, 2010
Last Update Date
July 30, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
14783 SW 109TH Ave
Apt 1
Tigard, OR 97224-3224
City
Tigard
State
Oregon
Zip
97224-3224
Phone Number
503-487-7348
Tigard, OR 97224Get directions →

Provider Business Mailing Address Details

Address
14783 SW 109TH Ave
Apt 1
Tigard, OR 97224-3224
City
Tigard
State
OR
Zip
97224-3224
Phone Number
503-487-7348

License Information

License Number
13603
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 Carissa R Campos, LMT?

The NPI number of Carissa R Campos, LMT is 1639483761. It was assigned on July 30, 2010 and is currently active in the NPPES registry.

What is the specialty of Carissa R Campos, LMT?

Carissa R Campos, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in OR under license number 13603.

Where does Carissa R Campos, LMT practice?

The practice location is 14783 SW 109TH Ave, Apt 1, Tigard, OR 97224-3224. The office can be reached at 503-487-7348 (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 1639483761 directly on the NPPES registry website.

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