Andreas Michael Correa LMT, CCA

NPI 1700100872 - Massage Therapist - 225700000X

NPI Details
NPI 1700100872
Gender Male
Enumeration Date 03/18/2010
Last Updated 03/18/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
819 SE MORRISON ST
SUITE 120
PORTLAND OR, 97214-6307, US
Phone (503) 445-7999
Fax (503) 445-7997
Business Location
819 SE MORRISON ST
SUITE 120
PORTLAND OR, 97214-6307, US
Phone (503) 445-7999
Fax (503) 445-7997
Toxanomy
Taxonomy Code 225700000X
License State
License Number
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According to our database, Mr. Andreas Michael Correa LMT, CCA NPI is 1700100872, taxonomy code is 225700000X Andreas Michael Correa LMT, CCA physically located at 819 Se Morrison St, Portland OR, 97214-6307. NPI Number Andreas Michael Correa LMT, CCA has the Individual type.

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1700100872 NPI number is provided on an as is basis without warranty of any kind. 1700100872 is maintained by the National Plan & Provider Enumeration System. The contents of Andreas Michael Correa LMT, CCA are for informational purposes only.