DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CHARLES WILLIAM STREET, MASSAGE THERAPIST

Active Sole Proprietor

MR. CHARLES WILLIAM STREET, MASSAGE THERAPIST is a Specialist healthcare provider located in BEAVERTON, Oregon. NPI 1346464419 is currently active in the NPPES registry. Verify at CMS.

Specialist · BEAVERTON, OR

Registration Details

NPI Number
1346464419
Provider Type
Individual
Gender
Male
NPI Issued
Apr 12, 2007 (19.154367212753 yrs)
Last Updated
Jul 8, 2007
License
1002 (OR)
Sole Proprietor
Yes

Practice Information

Address
1060 SW 170TH AVE UNIT 200
BEAVERTON, OR, 970068089
Browse OR providers · Browse ZIP 97006
Phone
5417780705
Fax
5416083911
Primary Specialty
Specialist
174400000X

Other Specialist Providers in BEAVERTON, OR

Name Credential NPI
DR. BRADFORD BENTON LORBER M.D. 1649215336
DR. JOHN EDWARD HAMBY 1699705244
MRS. LISA A FARGO LMT 1699874081
DR. SCOTT HARLOW MANDEL M.D. 1538269725
DEBBIE ANN GOETZ 1659447175
DR. KIM CHI VU M.D. 1770650194
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.