Angela G Vandenbos in Gresham - Massage Therapist
Angela G Vandenbos - NPI 1972634061
Angela G Vandenbos is a Massage Therapist in Gresham, Oregon. Angela G Vandenbos practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Angela G Vandenbos is 1972634061. The last update date is 2016-09-08.
Angela G Vandenbos's current location address is 39 Ne Kelly Ave, Gresham, Oregon. You can contact this provider via phone number 5033149162 and fax number 5034928560. The mailing address for Angela G Vandenbos is 39 Ne Kelly Ave, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela G Vandenbos |
|---|---|
| Address | 39 Ne Kelly Ave, Gresham, Oregon |
| Phone Number | 5033149162 |
| Fax Number | 5034928560 |
| Sole Proprietor | Y |
| Credentials | L.M.T. |
NPI Number Detail
| NPI Number | 1972634061 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2016-09-08 |
Provider Mailing Address Detail
| Address | 39 Ne Kelly Ave |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970307539 |
| Phone Number | 5033149162 |
| Fax Number | 5034928560 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | 6248 |
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Definition: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
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What is the unique 10-digit identification code issued to Angela G Vandenbos by the Centers for Medicare & Medicaid Services?
The Angela G Vandenbos has been assigned the NPI (National Provider Identifier) 1972634061 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Angela G Vandenbos located?
The Angela G Vandenbos is located at 39 Ne Kelly Ave, Gresham, OR 970307539.
What is Angela G Vandenbos's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Angela G Vandenbos is Massage Therapist, and the taxonomy code that categorizes this field of expertise is 225700000X.
When did Angela G Vandenbos receive its 1972634061 assignment?
The Angela G Vandenbos was assigned its 1972634061 on 2007-03-08, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Angela G Vandenbos, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Angela G Vandenbos, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-09-08.