NPI 1003172412 CHUNG SO LMT(OREGON #4132) VANCOUVER WA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Chung So - NPI: 1003172412

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: CHUNG SO
NPI Number: 1003172412
Entity Type Code: Individual (1)
Gender: M
Credentials: LMT(OREGON #4132)
License Number: LMT#4132
Business Practice Address: 1616 Se Bybee Blvd
Portland, OR - 972025715
Business Phone Number: 5032364654
Business Fax Number:
Mailing Address: 6311 Nw Firwood Drive,
VANCOUVER
State: WA
Postal Code: 986658511
Phone Number: 3607984255
Fax Number:
NPI Enumeration Date: 04/10/2012
NPI Last Update Date: 04/10/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 225700000X
License Number: LMT#4132
Healthcare Provider Taxonomy:
(Secondary)
Y
State: OR
Taxonomy Type: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Classification: Massage Therapist
Taxonomy Specialization:
Taxonomy 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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