NPI 1124263850

Amanda McCracken, LMT

Practitioner Other Technician Lake Oswego, OR

Practice location

Address: 7045 Montauk Cir, Lake Oswego, OR 97035-7828
Phone: (503) 470-9161

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 10973 (OR)

Other Technician, Other providers in Oregon →

Registry record

NPI: 1124263850
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Dec 2008
Record last updated: 9 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.