Provider Demographics
NPI:1699018770
Name:SOMSAY CHEUN
Entity Type:Organization
Organization Name:SOMSAY CHEUN
Other - Org Name:SC MASSAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LMT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOMSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEUN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:503-352-9514
Mailing Address - Street 1:17200 NW CORRIDOR CT
Mailing Address - Street 2:SUITE 111
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97006-3295
Mailing Address - Country:US
Mailing Address - Phone:503-352-9514
Mailing Address - Fax:503-352-5307
Practice Address - Street 1:17200 NW CORRIDOR CT
Practice Address - Street 2:SUITE 111
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006-3295
Practice Address - Country:US
Practice Address - Phone:503-352-9514
Practice Address - Fax:503-352-5307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-27
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR19023174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty