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NPI Code Detail

MEDICARE: EILEEN O'CONNOR

MEDICARE: EILEEN O'CONNOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMA60407133WA

General Provider Information

NPI Number : 1346662921
Entity Type Code : Individual
Provider Name (Legal Business Name) : EILEEN O'CONNOR
Provider Business Mailing Address
First Line : 6524 34TH AVE SW UNIT C
Second Line :
City : SEATTLE
State : WA
Zip : 98126-3187
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 916 NE 65TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98115-5542
Country : US
Telephone Number : 206-267-0863
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2014
Last Update Date : 01/15/2014

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Directions to “ EILEEN O'CONNOR ” Practice Location

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