Terri Lynn Anderson, LMT
Individual provider Active NPI Massage Therapist · Gresham, OR
NPI 1467604082 · NPPES record last updated Feb 11, 2009
Key facts
- NPI
- 1467604082
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 4028 (OR)
- Practice address
- 200 SW Florence Ave
D15
Gresham, OR 97080-7341 - Phone
- (503) 667-3483
- NPI assigned
- Oct 14, 2008
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 4028 | OR | Yes |
Addresses
Primary practice location
200 SW Florence Ave
D15
Gresham, OR 97080-7341
Mailing address
200 SW Florence Ave
D15
Gresham, OR 97080-7341
Phone (503) 667-3483
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2009. 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.