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NPI Code Detail

MEDICARE: EVA VENEGAS LMT

MEDICARE: EVA VENEGAS 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 TherapistMASS.MA.70033841WA

General Provider Information

NPI Number : 1700728524
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVA VENEGAS LMT
Provider Business Mailing Address
First Line : 14000 SE CASCADE PARK DR APT 17
Second Line :
City : VANCOUVER
State : WA
Zip : 98683-8706
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 113 S PARKWAY AVE
Second Line :
City : BATTLE GROUND
State : WA
Zip : 98604-9294
Country : US
Telephone Number : 360-687-1781
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “ EVA VENEGAS LMT” Practice Location

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