Doctor Name: | TIMOTHY RAUTIO |
NPI Number: | 1013381581 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMT |
License Number: | 17880 |
Business Practice Address: | 4655 Sw Griffith Dr Suite 180 Beaverton, OR - 970058728 |
Business Phone Number: | 5037465214 |
Business Fax Number: | 5037465328 |
Mailing Address: | 18522 Nw Holly St Unit 207, BEAVERTON |
State: | OR |
Postal Code: | 970067043 |
Phone Number: | 5033122553 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2015 |
NPI Last Update Date: | 11/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 17880 |
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. |