Provider Demographics
NPI:1477285021
Name:SANCHEZ DE LA PAZ, NESTOR (LMT)
Entity Type:Individual
Prefix:
First Name:NESTOR
Middle Name:
Last Name:SANCHEZ DE LA PAZ
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9900 SW GREENBURG RD STE 185
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-5405
Mailing Address - Country:US
Mailing Address - Phone:503-206-4620
Mailing Address - Fax:
Practice Address - Street 1:9900 SW GREENBURG RD STE 185
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-5405
Practice Address - Country:US
Practice Address - Phone:503-206-4620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR27007225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist