Individual provider · NPI-1
Amanda Barp, LMT
Mechanotherapist · Portland, OR
NPI number1295985455
StatusActive
Last updated in NPPESSep 29, 2009
Details
- NPI
- 1295985455
- Entity type
- Individual (NPI-1)
- Name
- Amanda Barp
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 24, 2008
- Last updated
- Sep 29, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172M00000X | Mechanotherapist | 12190 | OR | Yes |
Practice location
819 Se Morrison StSuite 240
Portland, OR 97214-6307
Phone 503-473-9142
Mailing address
819 Se Morrison StSuite 240
Portland, OR 97214-6307
Phone 503-473-9142
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