Adeline Andriesian, LMT, RN is a
Massage Therapist based in Portland, Oregon. Adeline Andriesian is licensed to practice in Oregon (license number 26612) and her current practice location is
3543 Ne Broadway St, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(971) 351-2270.
NPI number for Adeline Andriesian is 1548791213 and her current mailing address is 3543 Ne Broadway St, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548791213.
Provider's Profile
Full Name | Adeline Andriesian |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 3543 Ne Broadway St, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548791213
- Provider Enumeration Date: 03/24/2017
- Last Update Date: 11/29/2023
Medical Identifiers
Medical identifiers for Adeline Andriesian such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548791213 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 201700676RN (Oregon) | Secondary |
225700000X | Massage Therapist | 26612 (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. Adeline Andriesian 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 |
Adeline Andriesian, LMT, RN 3543 Ne Broadway St, Portland, OR 97232-1820 Ph: () - | Adeline Andriesian, LMT, RN 3543 Ne Broadway St, Portland, OR 97232-1820 Ph: (971) 351-2270 |
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