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NPI Code Detail

MEDICARE: ZOE NORMAN LMT

MEDICARE: ZOE NORMAN 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
1225700000XMassage TherapistLMT-25486OR

General Provider Information

NPI Number : 1699310607
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZOE NORMAN LMT
Provider Business Mailing Address
First Line : 819 SE MORRISON ST STE 115
Second Line :
City : PORTLAND
State : OR
Zip : 97214-6308
Country : US
Telephone Number : 503-956-9396
Fax Number :
Provider Business Practice Location Address
First Line : 819 SE MORRISON ST STE 115
Second Line :
City : PORTLAND
State : OR
Zip : 97214-6308
Country : US
Telephone Number : 503-956-9396
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2019
Last Update Date : 11/13/2019

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Directions to “ ZOE NORMAN LMT” Practice Location

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