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Mrs. Lisa A Fargo, LMT
Specialist in Beaverton, Oregon
NPI 1699874081

Lisa A Fargo is a Specialist based in Tigard, OR. Lisa A Fargo practices in Beaverton, OR and has the professional credentials of LMT. The NPI Number for Lisa A Fargo is 1699874081 and holds a License No. 11230 (Oregon).

The current practice location address for Lisa A Fargo is 3800 Sw Cedar Hills Blvd, Beaverton, OR and can be reached out via phone at 971-645-2257.

Location: 3800 Sw Cedar Hills Blvd, Beaverton, OR, 97223-5646
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699874081
Provider Name
Lisa A Fargo
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
3800 Sw Cedar Hills Blvd, Beaverton, OR, 97223-5646
Phone Number
971-645-2257
Fax Number
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3800 Sw Cedar Hills Blvd
City
Beaverton
State
Oregon
Zip
97005-2027
Phone Number
971-645-2257
Fax Number
person
Provider Business Mailing Address Details
Address
3800 Sw Cedar Hills Blvd
City
Beaverton
State
Oregon
Zip
97005-2027
Phone Number
971-645-2257
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
11230 (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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