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NPI Code Detail

MEDICARE: TIARHA OESTREICH LMP

MEDICARE:   TIARHA  OESTREICH  LMP
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 TherapistMA00023579WA

General Provider Information

NPI Number : 1417155961
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIARHA OESTREICH LMP
Provider Business Mailing Address
First Line : PO BOX 1438
Second Line :
City : OMAK
State : WA
Zip : 98841-1438
Country : US
Telephone Number : 509-846-1000
Fax Number : 509-846-1005
Provider Business Practice Location Address
First Line : 519 RIVERSIDE DRIVE
Second Line :
City : OMAK
State : WA
Zip : 98841-1438
Country : US
Telephone Number : 509-846-1000
Fax Number : 509-846-1005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2007
Last Update Date : 07/08/2007

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Directions to “ TIARHA OESTREICH LMP” Practice Location

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