NPI 1528671328
Charity M Lickfold, MFPCPTCNC
Practice location
- Address
- 580 NE Poplar St, Clatskanie, OR 97016-7470
- Phone
- (208) 704-7632
- Mailing address
- PO Box 555, Clatskanie, OR 97016-0555
Registered specialties (3)
Clinical Exercise Physiologist
Primary
Nutritionist
Health & Wellness Coach
Registry record
- NPI
- 1528671328
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 31 Aug 2020
- Record last updated
- 21 May 2024
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.