MEDICARE: STEPHANIE WATKINS 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	15206	OR

General Provider Information

NPI Number	:	1164742581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE WATKINS LMT

Provider Business Mailing Address
First Line	:	7325 SW CHILDS RD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97224-7713
Country	:	US
Telephone Number	:	503-797-9999
Fax Number	:

Provider Business Practice Location Address
First Line	:	7325 SW CHILDS RD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97224-7713
Country	:	US
Telephone Number	:	503-797-9999
Fax Number	:

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

Provider Enumeration Date	:	06/08/2010
Last Update Date	:	08/20/2015

Similar Medicare Providers

1790751600 — MR. GEOFFREY WAYNE CLARK ATC
Practice Location Address:

7325 SW CHILDS RD
PORTLAND, OR
97224-7713

Practice Phone: 503-797-9812
Practice Fax: 503-797-9996

1992257331 — MICAH SMITH ATC
Practice Location Address:

7325 SW CHILDS RD
PORTLAND, OR
97224-7713

Practice Phone: 317-504-0593
Practice Fax:

1164927356 — KENDRA AUGUSTINE CHANEY ATC
Practice Location Address:

7325 SW CHILDS RD
PORTLAND, OR
97224-7713

Practice Phone: 361-537-8901
Practice Fax:

1568469278 — JONATHAN EDWARD GREENLEAF M.D.
Practice Location Address:

7300 SW CHILDS RD
TIGARD, OR
97224-7713

Practice Phone: 503-692-8700
Practice Fax: 503-692-8710

1548267263 — RICHARD HENRY EDELSON M.D.
Practice Location Address:

7300 SW CHILDS RD
TIGARD, OR
97224-7713

Practice Phone: 503-692-8700
Practice Fax: 503-692-8710

1184621815 — RAYMOND ROBERT NORTH M.D.
Practice Location Address:

7300 SW CHILDS RD
TIGARD, OR
97224-7713

Practice Phone: 503-692-8700
Practice Fax: 503-692-8710

Directions to “ STEPHANIE WATKINS LMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.