Patricia Ann Combs, LICENSED MASSAGE THE

Individual provider Active NPI Massage Therapist · Gladstone, OR

NPI 1508484270 · NPPES record last updated Jul 9, 2020

Key facts

NPI
1508484270
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
25588 (OR)
Practice address
255 E. Dartmouth St.
Gladstone, OR 97027
Phone
(503) 442-4418
NPI assigned
Jul 9, 2020
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

LicenseStateTypeSpecialty
25588ORMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 25588 OR Yes

Addresses

Primary practice location

255 E. Dartmouth St.
Gladstone, OR 97027

Mailing address

255 E. Dartmouth St.
Gladstone, OR 97027
Phone (503) 442-4418

Other providers in Gladstone, OR

All providers in Gladstone, OR · Massage Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.