Provider Demographics
NPI:1093578700
Name:MCENTARFFER, CHENE CHRISTINA (LMT)
Entity Type:Individual
Prefix:
First Name:CHENE
Middle Name:CHRISTINA
Last Name:MCENTARFFER
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 1:67 W ASH ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OR
Mailing Address - Zip Code:97355-3332
Mailing Address - Country:US
Mailing Address - Phone:541-995-0551
Mailing Address - Fax:
Practice Address - Street 1:67 W ASH ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OR
Practice Address - Zip Code:97355-3332
Practice Address - Country:US
Practice Address - Phone:541-995-0551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR023181225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist