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NPI Code Detail

MEDICARE: STELLA SILUO LIU

MEDICARE:   STELLA SILUO LIU
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 TherapistR01300MD

General Provider Information

NPI Number : 1437860400
Entity Type Code : Individual
Provider Name (Legal Business Name) : STELLA SILUO LIU
Provider Business Mailing Address
First Line : 7735 SW FLORENCE LN
Second Line :
City : PORTLAND
State : OR
Zip : 97223-9234
Country : US
Telephone Number : 971-500-4448
Fax Number :
Provider Business Practice Location Address
First Line : 7825 TUCKERMAN LN STE 204
Second Line :
City : POTOMAC
State : MD
Zip : 20854-3241
Country : US
Telephone Number : 301-888-6158
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2022
Last Update Date : 12/09/2022

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Directions to “ STELLA SILUO LIU ” Practice Location

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