MEDICARE: ROSESHARON OATES

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

General Provider Information

NPI Number	:	1861882623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSESHARON OATES

Provider Business Mailing Address
First Line	:	2519 ADELINE ST
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94607-2405
Country	:	US
Telephone Number	:	510-472-0659
Fax Number	:

Provider Business Practice Location Address
First Line	:	3798 GRAND AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94610-1527
Country	:	US
Telephone Number	:	510-472-0659
Fax Number	:

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

Provider Enumeration Date	:	02/02/2015
Last Update Date	:	02/02/2015

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Directions to “ ROSESHARON OATES ” Practice Location

Language	Start Address	Practice Location

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