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NPI Code Detail

MEDICARE: MS. ALINA CHOBU LMT

MEDICARE: MS. ALINA CHOBU 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 Therapist22853OR

General Provider Information

NPI Number : 1770035669
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALINA CHOBU LMT
Provider Business Mailing Address
First Line : 3900 DOUGLAS WAY
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-3446
Country : US
Telephone Number : 503-935-0965
Fax Number :
Provider Business Practice Location Address
First Line : 3900 DOUGLAS WAY
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-3446
Country : US
Telephone Number : 503-935-0965
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2016
Last Update Date : 05/28/2019

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