MEDICARE: MORGANNE O'NEILL LMT

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
1	225700000X	Massage Therapist	20554	OR

General Provider Information

NPI Number	:	1528706801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGANNE O'NEILL LMT

Provider Business Mailing Address
First Line	:	15110 BOONES FERRY RD STE 350
Second Line	:
City	:	LAKE OSWEGO
State	:	OR
Zip	:	97035-3461
Country	:	US
Telephone Number	:	503-706-3604
Fax Number	:

Provider Business Practice Location Address
First Line	:	15110 BOONES FERRY RD STE 350
Second Line	:
City	:	LAKE OSWEGO
State	:	OR
Zip	:	97035-3461
Country	:	US
Telephone Number	:	503-706-3604
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2022
Last Update Date	:	01/24/2025

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Directions to “ MORGANNE O'NEILL LMT” Practice Location

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