Christina Nadean Lane, LMT

Individual provider Active NPI Massage Therapist · Scappoose, OR

NPI 1871850586 · NPPES record last updated Apr 19, 2012

Key facts

NPI
1871850586
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
18547 (OR)
Practice address
52515 Columbia River Highway
Scappoose, OR 97051
Phone
(503) 543-2444
Fax
(503) 396-5936
NPI assigned
Apr 19, 2012
Sex
Female
Sole proprietor
Yes

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
18547ORMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 18547 OR Yes

Addresses

Primary practice location

52515 Columbia River Highway
Scappoose, OR 97051

Mailing address

10045 N Edison St
Portland, OR 97203-1410
Phone (503) 718-1963

Other providers in Scappoose, OR

All providers in Scappoose, OR · Massage Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.