Healthcare Provider Details
I. General information
NPI: 1720951908
Provider Name (Legal Business Name): HANNAH DOROTHY PIEH
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/24/2025
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
260 OAKWAY CTR
EUGENE OR
97401-5663
US
IV. Provider business mailing address
83739 LEAFWOOD ST
CRESWELL OR
97426-9438
US
V. Phone/Fax
- Phone: 541-632-3359
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | 29252 |
| License Number State | OR |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: