Provider Demographics
NPI:1811583610
Name:STEINBACH, JULIANA M (LMT)
Entity Type:Individual
Prefix:
First Name:JULIANA
Middle Name:M
Last Name:STEINBACH
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 1:7705 DOUGHTY RD
Mailing Address - Street 2:
Mailing Address - City:TILLAMOOK
Mailing Address - State:OR
Mailing Address - Zip Code:97141-9384
Mailing Address - Country:US
Mailing Address - Phone:503-812-2453
Mailing Address - Fax:
Practice Address - Street 1:2101 5TH ST
Practice Address - Street 2:
Practice Address - City:TILLAMOOK
Practice Address - State:OR
Practice Address - Zip Code:97141-2330
Practice Address - Country:US
Practice Address - Phone:503-354-2170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR16504225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist