Provider Demographics
NPI:1407289788
Name:TARIA A. PIROZZI
Entity Type:Organization
Organization Name:TARIA A. PIROZZI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LISENCED MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TARIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PIROZZI
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:503-933-3495
Mailing Address - Street 1:7110 SW FIR LOOP
Mailing Address - Street 2:SUITE 210
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-8093
Mailing Address - Country:US
Mailing Address - Phone:503-819-2904
Mailing Address - Fax:503-746-7432
Practice Address - Street 1:7110 SW FIR LOOP
Practice Address - Street 2:SUITE 210
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-8093
Practice Address - Country:US
Practice Address - Phone:503-819-2904
Practice Address - Fax:503-746-7432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-09
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR13654171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty