Courtney V Edwards
Massage Therapist
19365 Sw 65th Ave Ste 104
Tualatin
, Oregon 97062-9196
Courtney V Edwards
Massage Therapist
19365 Sw 65th Ave Ste 104
Tualatin
, Oregon 97062-9196
(503) 486-5190
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Courtney V Edwards
- 19365 Sw 65th Ave Ste 104
- Tualatin, OR
- Zip : 97062-9196
- Fax : (503) 486-5190
- Phone : (503) 486-5199
Second Address
- Courtney V Edwards
- 19365 Sw 65th Ave Ste 104
- Tualatin, OR
- Zip : 97062-9196
- Fax : (503) 586-9190
- Phone : (503) 486-5199
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 17628 | OR |
National Provider Identifier
| NPI | 1013291988 |
|---|---|
| Provider Name | Courtney V Edwards |
| First Address | Tualatin, OR 97062-9196 |
| Second Address | Tualatin, OR 97062-9196 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2011 |
| Last Update Date | 10/10/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.