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Contact Information

DALE A FAVIER, LMT
1532 SE 52ND AVE
PORTLAND, OR97215-3316
 Phone: 503-239-5241
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for DALE A FAVIER · (Male)

NPI Number 1891023735
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 12/04/2009
Last updated 12/04/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 14610
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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