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NPI Code Detail

MEDICARE: MAREN UECKER LMT

MEDICARE: MAREN UECKER 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 Therapist22380OR

General Provider Information

NPI Number : 1932695368
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAREN UECKER LMT
Provider Business Mailing Address
First Line : 9227 SE COOPER ST
Second Line :
City : PORTLAND
State : OR
Zip : 97266-5517
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1320 NW 20TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97209-1607
Country : US
Telephone Number : 201-725-1474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2018
Last Update Date : 02/19/2022

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Directions to “ MAREN UECKER LMT” Practice Location

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