MR. CHARLES STREET, MASSAGE THERAPIST

Specialist

Active Individual
NPI: 1346464419

Practice Address

1060 SW 170TH AVE UNIT 200
Beaverton, OR 97006

Phone: (541) 778-0705

Specialties

Specialty Code Primary License
Specialist 174400000X Yes 1002 (OR)

Frequently Asked Questions

NPI 1346464419 is the National Provider Identifier for MR. CHARLES STREET, MASSAGE THERAPIST, a Specialist provider located in Beaverton, OR. This NPI was enumerated on April 12, 2007.
MR. CHARLES STREET, MASSAGE THERAPIST practices at 1060 SW 170TH AVE UNIT 200, Beaverton, OR 97006.

Quick Facts

NPI
1346464419
Type
Individual
Enumerated
Apr 12, 2007
Last Updated
Jul 8, 2007

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