Healthcare Provider Details

I. General information

NPI: 1285838714
Provider Name (Legal Business Name): APRIL L SYKES LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3304 SE BELMONT ST
PORTLAND OR
97214
US

IV. Provider business mailing address

4344 SE 26TH AVE
PORTLAND OR
97202
US

V. Phone/Fax

Practice location:
  • Phone: 503-380-6198
  • Fax:
Mailing address:
  • Phone: 503-380-6194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number11557
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: