Barbra Archibeque, LMT
Individual provider Active NPI Massage Therapist · Gresham, OR
NPI 1912353947 · NPPES record last updated May 9, 2016
Key facts
- NPI
- 1912353947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 1494 NW 15TH St
Gresham, OR 97030-3652 - Phone
- (951) 741-4948
- NPI assigned
- May 9, 2016
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Yes |
Addresses
Primary practice location
1494 NW 15TH St
Gresham, OR 97030-3652
Mailing address
1494 NW 15TH St
Gresham, OR 97030-3652
Phone (951) 741-4948
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 May 9, 2016. 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.