Sheila M Custer-sage LMT

NPI 1467699397 - Massage Therapist - 225700000X

NPI Details
NPI 1467699397
Gender Female
Enumeration Date 01/14/2009
Last Updated 01/14/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1201 SW 12TH AVE
SUITE 205
PORTLAND OR, 97205-2046, US
Phone (503) 279-0205
Fax (503) 279-0206
Business Location
1201 SW 12TH AVE
SUITE 205
PORTLAND OR, 97205-2046, US
Phone (503) 279-0205
Fax (503) 279-0206
Toxanomy
Taxonomy Code 225700000X
License State Oregon
License Number 5372
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According to our database, Sheila M Custer-sage LMT NPI is 1467699397, taxonomy code is 225700000X and license number is 5372, license state is located at Oregon. Sheila M Custer-sage LMT physically located at 1201 Sw 12th Ave, Portland OR, 97205-2046. NPI Number Sheila M Custer-sage LMT has the Individual type.

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1467699397 NPI number is provided on an as is basis without warranty of any kind. 1467699397 is maintained by the National Plan & Provider Enumeration System. The contents of Sheila M Custer-sage LMT are for informational purposes only.