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Charles Street, MASSAGE THERAPIST
NPI 1346464419 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1060 Sw 170th Ave Unit 200
Beaverton, OR 97006 - Phone
- (541) 778-0705
- Fax
- (541) 608-3911
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon