Deborah Vukson, LMT
Individual provider Active NPI Massage Therapist · Dexter, OR
NPI 1972912012 · NPPES record last updated Aug 2, 2014
Key facts
- NPI
- 1972912012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 4823 (OR)
- Practice address
- 80881 Lost Creek Rd
Dexter, OR 97431-9782 - Phone
- (541) 937-1394
- NPI assigned
- Aug 2, 2014
- 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 |
|---|---|---|---|
| 4823 | OR | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 4823 | OR | Yes |
Addresses
Primary practice location
80881 Lost Creek Rd
Dexter, OR 97431-9782
Mailing address
80881 Lost Creek Rd
Dexter, OR 97431-9782
Phone (541) 937-1394
Other providers in Dexter, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2014. 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.