MEDICARE: VERONICA MARY TAFURI

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
1	225700000X	Massage Therapist	19162	OR

General Provider Information

NPI Number	:	1982106563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONICA MARY TAFURI

Provider Business Mailing Address
First Line	:	7542 SW BARNES RD UNIT C
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97225-6234
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1842 NW 25TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97210-2568
Country	:	US
Telephone Number	:	503-964-2454
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2018
Last Update Date	:	02/28/2018

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Directions to “ VERONICA MARY TAFURI ” Practice Location

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