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

CHARITY M LICKFOLD, MFP, CPT, CNC

Active Sole Proprietor

CHARITY M LICKFOLD, MFP, CPT, CNC is a 224Y00000X healthcare provider located in CLATSKANIE, Oregon. NPI 1528671328 is currently active in the NPPES registry. Verify at CMS.

224Y00000X · CLATSKANIE, OR

Registration Details

NPI Number
1528671328
Provider Type
Individual
Gender
Female
NPI Issued
Aug 31, 2020 (5.9999260099892 yrs)
Last Updated
May 21, 2024
Sole Proprietor
Yes

Practice Information

Address
580 NE POPLAR ST
CLATSKANIE, OR, 970167470
Browse OR providers · Browse ZIP 97016
Phone
2087047632
Primary Specialty
224Y00000X
224Y00000X
Additional Specialty
Health & Wellness Coach
Additional Specialty
224Y00000X
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.