Dalton Bagley, LMT
Massage Therapist in Beaverton, Oregon
1295154698- Practice location
- 14619 SW Teal Blvd, Beaverton, OR 97007-6194
- Phone
- 503-746-6585
- Fax
- —
- Last updated
- April 14, 2014
Dalton Bagley, LMT is a Massage Therapist based in Beaverton, OR. Dalton Bagley, LMT holds the professional credentials of LMT. The NPI number for Dalton Bagley, LMT is 1295154698 and holds license No. 19467 (OR). The current practice location address is 14619 SW Teal Blvd, Beaverton, OR 97007-6194 and the office can be reached by phone at 503-746-6585. The NPI was assigned on April 14, 2014 and the record was last updated in NPPES on April 14, 2014.
●Provider Profile Details
- NPI Number
- 1295154698
- Provider Name
- Dalton Bagley
- Credential
- LMT
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- No
- Enumeration Date
- April 14, 2014
- Last Update Date
- April 14, 2014
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 14619 SW Teal Blvd
Beaverton, OR 97007-6194 - City
- Beaverton
- State
- Oregon
- ZIP
- 97007-6194
- Country
- US
- Phone Number
- 503-746-6585
✉Business Mailing Address
- Address
- 534 Illinois Ave NE
Salem, OR 97301-4632 - City
- Salem
- State
- OR
- ZIP
- 97301-4632
- Phone Number
- 503-991-2154
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Yes | 19467 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Beaverton →?Frequently Asked Questions
What is the NPI number of Dalton Bagley, LMT?
The NPI number of Dalton Bagley, LMT is 1295154698. It was assigned on April 14, 2014 and is currently active in the NPPES registry.
What is the specialty of Dalton Bagley, LMT?
Dalton Bagley, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X) and holds license No. 19467 (OR).
Where does Dalton Bagley, LMT practice?
The practice location is 14619 SW Teal Blvd, Beaverton, OR 97007-6194. The office can be reached at 503-746-6585 (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 1295154698 directly on the NPPES registry website at npiregistry.cms.hhs.gov.