Provider Demographics
NPI:1356689202
Name:NUESKE, ORIAHNA JUNE (LMT)
Entity Type:Individual
Prefix:MS
First Name:ORIAHNA
Middle Name:JUNE
Last Name:NUESKE
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 1:8108 SE ASPEN SUMMIT DR
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97266-9229
Mailing Address - Country:US
Mailing Address - Phone:503-334-5168
Mailing Address - Fax:
Practice Address - Street 1:8108 SE ASPEN SUMMIT DR
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97266-9229
Practice Address - Country:US
Practice Address - Phone:503-334-5168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR19231225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist