Angela Bertsch, LMT
Individual provider Active NPI Massage Therapist · Tualatin, OR
NPI 1346587466 · NPPES record last updated Jan 9, 2013
Key facts
- NPI
- 1346587466
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 17868 (OR)
- Practice address
- 19365 SW 65TH Ave
Ste. 104
Tualatin, OR 97062-9196 - Phone
- (503) 486-5199
- Fax
- (503) 486-5190
- NPI assigned
- Jan 9, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17868 | OR | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 17868 | OR | Yes |
Addresses
Primary practice location
19365 SW 65TH Ave
Ste. 104
Tualatin, OR 97062-9196
Mailing address
19365 SW 65TH Ave
Ste. 104
Tualatin, OR 97062-9196
Phone (503) 486-5199
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.