Provider Demographics
NPI:1003028218
Name:FIGLIULO, JULIE A (LMT)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:A
Last Name:FIGLIULO
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18121 TUALATA AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-7139
Mailing Address - Country:US
Mailing Address - Phone:503-704-2843
Mailing Address - Fax:
Practice Address - Street 1:9925 SW NIMBUS AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-7387
Practice Address - Country:US
Practice Address - Phone:503-704-2843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR11713225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist