Healthcare Provider Details

I. General information

NPI: 1740548809
Provider Name (Legal Business Name): AMY STERLING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2012
Last Update Date: 03/01/2025
Certification Date: 03/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4054 RIVER RD N
KEIZER OR
97303-5501
US

IV. Provider business mailing address

854 GARLOCK ST S
SALEM OR
97302-6021
US

V. Phone/Fax

Practice location:
  • Phone: 503-383-1411
  • Fax:
Mailing address:
  • Phone: 503-625-0100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number12821
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: