NPI 1710241708

Daniela M Lostumbo-Frelly, LMT

Practitioner Reflexologist Beaverton, OR

Practice location

Address: 2077 NW Town Center Dr, Beaverton, OR 97006-8938
Phone: (503) 597-7780
Fax: (503) 746-4891
Mailing address: 10749 SW Canterbury Ln STE 101, Tigard, OR 97224-3874

Registered specialties

Reflexologist Primary

Other Service Providers Taxonomy 173C00000X Licence 18475 (OR)

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Registry record

NPI: 1710241708
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jun 2012
Record last updated: 25 Jun 2012

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.