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NPI Code Detail

MEDICARE: LISA RENEE HUNT-SENIFF L.M.T.

MEDICARE:   LISA RENEE HUNT-SENIFF  L.M.T.
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
1225700000XMassage Therapist17159OR

General Provider Information

NPI Number : 1558657734
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA RENEE HUNT-SENIFF L.M.T.
Provider Business Mailing Address
First Line : 1415 N JESSUP ST
Second Line :
City : PORTLAND
State : OR
Zip : 97217-4627
Country : US
Telephone Number : 574-302-6336
Fax Number :
Provider Business Practice Location Address
First Line : 1415 N JESSUP ST
Second Line :
City : PORTLAND
State : OR
Zip : 97217-4627
Country : US
Telephone Number : 574-302-6336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2011
Last Update Date : 06/25/2011

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Directions to “ LISA RENEE HUNT-SENIFF L.M.T.” Practice Location

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