Carol Patricia Congdon in Portland - Massage Therapist

Carol Patricia Congdon - NPI 1598948978

Carol Patricia Congdon is a Massage Therapist in Portland, Oregon. Carol Patricia Congdon practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Carol Patricia Congdon is 1598948978. The last update date is 2018-04-30.

Carol Patricia Congdon's current location address is 4425 Sw Corbett Ave, Portland, Oregon. You can contact this provider via phone number 5033176347. The mailing address for Carol Patricia Congdon is 4425 Sw Corbett Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Carol Patricia Congdon
Address 4425 Sw Corbett Ave, Portland, Oregon
Phone Number 5033176347
Fax Number
Sole Proprietor Y
Credentials LAC

NPI Number Detail

NPI Number 1598948978
Provider Enumeration Date 2007-12-09
Last Updated Date 2018-04-30

Provider Mailing Address Detail

Address 4425 Sw Corbett Ave
City Portland
State Oregon (OR)
Post Code 972394260
Phone Number 5033176347
Fax Number

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No 7381
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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FAQs about Carol Patricia Congdon

What is the unique 10-digit identification code assigned to Carol Patricia Congdon by the Centers for Medicare & Medicaid Services?

The Carol Patricia Congdon has been issued the NPI (National Provider Identifier) 1598948978, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Carol Patricia Congdon's facilities are situated?

The facilities of Carol Patricia Congdon are physically located at the following address: 4425 Sw Corbett Ave, Portland, OR, 972394260.

What is Carol Patricia Congdon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Carol Patricia Congdon's specialized field of practice is Massage Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225700000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1598948978 to Carol Patricia Congdon?

The Centers for Medicare & Medicaid Services assigned the 1598948978 to Carol Patricia Congdon on 2007-12-09.

As of what date was the information pertaining to Carol Patricia Congdon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Carol Patricia Congdon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-04-30.

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