Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 11713 | OR |
NPI | 1003028218 |
---|---|
Provider Name | Mrs. Julie A Figliulo |
First Address | Lake Oswego, OR 97035-7139 |
Second Address | Beaverton, OR 97008-7387 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 08/07/2007 |