Lisa Teague, LMT
Specialist in Portland, OR. Individual provider (NPI-1).
NPI number1497936629
StatusActive
Last updated in NPPESNov 15, 2007
Details
- NPI
- 1497936629
- Entity type
- Individual (NPI-1)
- Name
- Lisa Teague
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 15, 2007
- Last updated
- Nov 15, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 11219 | OR | Yes |
Other names
- Lisa Boal (Former Name)
Practice location
511 Sw 10th Ave Ste 1109Portland, OR 97205-2712
Phone 503-329-3577
Mailing address
2083 Nw Johnson St. #34Portland, OR 97209
Phone 503-329-3577
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All 499 Specialist providers in Portland · All 48,847 providers in Portland
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