Gary Leroy Wass in Portland - Massage Therapist
Gary Leroy Wass - NPI 1023221728
Gary Leroy Wass is a Massage Therapist in Portland, Oregon. Gary Leroy Wass practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Gary Leroy Wass is 1023221728. The last update date is 2014-12-08.
Gary Leroy Wass's current location address is 2929 Sw Multnomah Blvd Ste 207, Portland, Oregon. You can contact this provider via phone number 5092406989. The mailing address for Gary Leroy Wass is 2929 Sw Multnomah Blvd Ste 207, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Leroy Wass |
|---|---|
| Address | 2929 Sw Multnomah Blvd Ste 207, Portland, Oregon |
| Phone Number | 5092406989 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1023221728 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2014-12-08 |
Provider Mailing Address Detail
| Address | 2929 Sw Multnomah Blvd Ste 207 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972194072 |
| Phone Number | 5092406989 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA00016138 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5633 | OR | OREGON STATE LISCENCE | |
| MA00016138 | WA | STATE LISCENCE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gary Leroy Wass by the Centers for Medicare & Medicaid Services?
The Gary Leroy Wass has been issued the NPI (National Provider Identifier) 1023221728 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Gary Leroy Wass?
The Gary Leroy Wass is physically situated at 2929 Sw Multnomah Blvd Ste 207, in the city of Portland, state of OR, with the postal code 972194072.
What is Gary Leroy Wass's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gary Leroy Wass is Massage Therapist, and the taxonomy classification code that categorizes this area of expertise is 225700000X.
On what date did the Gary Leroy Wass receive its 1023221728 assignment from the Centers for Medicare & Medicaid Services?
The Gary Leroy Wass was assigned its 1023221728 by the Centers for Medicare & Medicaid Services on 2007-05-08.
When was the information pertaining to Gary Leroy Wass most recently updated or revised?
The details related to Gary Leroy Wass, including its address, specialty, and other relevant information, were last updated or revised on 2014-12-08.
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