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Contact Information

MICHAEL B TRIPP SR, LMT
411 WASHINGTON AVE
COTTAGE GROVE, OR97424-2060
 Phone: 541-554-7027
 Fax: 541-942-9849
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for MICHAEL B TRIPP SR · (Male)

NPI # 1730366998
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 01/29/2008
Last updated 01/29/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 11018
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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