Mrs Tina Marie Leavenworth, LMT is a
Massage Therapist based in Woodburn, Oregon. Mrs Tina Marie Leavenworth is licensed to practice in Oregon (license number 18135) and her current practice location is
1755 Mount Hood Ave, Woodburn, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 501-0622.
NPI number for Mrs Tina Marie Leavenworth is 1538451430 and her current mailing address is 3710 Se Concord Rd Apt 95, Milwaukie, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538451430.
Healthcare Provider's Profile
Full Name | Mrs Tina Marie Leavenworth |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 1755 Mount Hood Ave, Woodburn, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538451430
- Provider Enumeration Date: 05/10/2011
- Last Update Date: 12/10/2020
Medical Identifiers
Medical identifiers for Mrs Tina Marie Leavenworth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538451430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 18135 (Oregon) | Secondary |
225700000X | Massage Therapist | 18135 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tina Marie Leavenworth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Tina Marie Leavenworth, LMT 3710 Se Concord Rd Apt 95, Milwaukie, OR 97267-3974 Ph: (503) 501-0622 | Mrs Tina Marie Leavenworth, LMT 1755 Mount Hood Ave, Woodburn, OR 97071-9096 Ph: (503) 501-0622 |
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