Holly Carol Decker in Portland - Massage Therapist

Holly Carol Decker - NPI 1104975531

Holly Carol Decker is a Massage Therapist in Portland, Oregon. Holly Carol Decker practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Holly Carol Decker is 1104975531. The last update date is 2007-07-08.

Holly Carol Decker's current location address is 2625 Se Hawthorne Blvd, Portland, Oregon. You can contact this provider via phone number 5033090728. The mailing address for Holly Carol Decker is 2625 Se Hawthorne Blvd, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Holly Carol Decker
Address 2625 Se Hawthorne Blvd, Portland, Oregon
Phone Number 5033090728
Fax Number
Sole Proprietor N
Credentials LMT

NPI Number Detail

NPI Number 1104975531
Provider Enumeration Date 2007-01-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2625 Se Hawthorne Blvd
City Portland
State Oregon (OR)
Post Code 972142941
Phone Number 5033090728
Fax Number

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No 2783
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 Holly Carol Decker

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

The Holly Carol Decker has been issued the NPI (National Provider Identifier) 1104975531, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Holly Carol Decker's facilities are geographically located?

The facilities of Holly Carol Decker are physically situated at the following location: 2625 Se Hawthorne Blvd, Portland, OR, 972142941.

What is Holly Carol Decker's area of expertise and its corresponding taxonomy classification?

The Holly Carol Decker's field of specialization is Massage Therapist, and it falls under the taxonomy code 225700000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Holly Carol Decker receive the assignment of its 1104975531 from the Centers for Medicare & Medicaid Services?

The Holly Carol Decker was issued its 1104975531 by the Centers for Medicare & Medicaid Services on 2007-01-08.

As of what date was the information regarding Holly Carol Decker, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Holly Carol Decker, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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