Individual
MS. ANNE C TEGTMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12349 SE KNAPP ST, PORTLAND, OR 97236-5017
(860) 922-6439
Mailing address
12349 SE KNAPP ST, PORTLAND, OR 97236-5017
(860) 922-6439
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
225700000X
Massage Therapist
18614
OR
Other
Enumeration date
12/08/2011
Last updated
12/15/2014
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